BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4220206 · Received November 3, 2014

    Report

    Report Number
    1531186-2014-05275
    Date Received
    November 3, 2014
    Report Date
    October 13, 2014
    Manufacturer
    GOODBABY
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER ALLEGES THAT THE RATCHET ASSEMBLY ON THE RIGHT SIDE SNAPPED OFF A (B)(4) RECLINER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701022 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM GOODBABY IH6074A/IH60

    Patients

    Seq Age Sex Outcome Treatment
    1 Other