FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 4221335 · Received November 3, 2014

Report

Report Number
1531186-2014-05310
Date Received
November 3, 2014
Report Date
October 15, 2014
Manufacturer
KENSTONE METAL
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

THE END USER'S SON, STATED HIS MOTHER'S TRANSPORT CHAIR HAD A BROKEN SEAT GUIDE. HE STATED THE WHEEL LOCK IS NOT ALLOWING THE WHEEL TO TURN, IT GETS STUCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
701855 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRAN06

Patients

Seq Age Sex Outcome Treatment
1 Other