BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4221373 · Received November 3, 2014

    Report

    Report Number
    1531186-2014-05317
    Date Received
    November 3, 2014
    Report Date
    October 15, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER END USER IS ALLEGING THAT THE WHEEL BEARING BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701153 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT LTTR19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other