BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4242295 · Received November 11, 2014

    Report

    Report Number
    1531186-2014-05514
    Date Received
    November 11, 2014
    Report Date
    October 22, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    TBM CHARLES SUMMERS CALLED AND ADVISED LEFT FRONT CASTER BEARINGS CAME OUT. TBM ADVISED ENDUSER CONTINUED TO USE AND FORK IS DAMAGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    727919 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT LTTR19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other