BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4220414 · Received November 3, 2014

    Report

    Report Number
    1525712-2014-07565
    Event Type
    Malfunction
    Date Received
    November 3, 2014
    Report Date
    October 13, 2014
    Manufacturer
    UNKNOWN
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATED THAT HE HAS A HTR CHAIR HE HAS HAD FOR ABOUT A YEAR AND HAS A BROKEN WHEEL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    702584 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN HTR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other