FDA Adverse Event Malfunction Summary report: N

HVY DUTY TRANSPORT 22 IN-W/FTRST 9153643753

MDR report key: 4366155 · Received December 29, 2014

Report

Report Number
1531186-2014-06891
Event Type
Malfunction
Date Received
December 29, 2014
Report Date
November 14, 2014
Manufacturer
JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
Product Code
IOR
Product Problem
Yes
Report Source
Distributor report
Reporter Location
TX, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IT HAS BEEN REPORTED BY AN END USER THAT A TRHD22FR TRANSPORT CHAIR NEEDS THE ARM SOCKETS ON THIS CHAIR BECAUSE THEY ARE BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
854516 HVY DUTY TRANSPORT 22 IN-W/FTRST 9153643753 WHEELCHAIR, MECHANICAL IOR JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other