BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSPORT 20 IN X 16 IN 9153637574

    MDR report key: 4408439 · Received January 12, 2015

    Report

    Report Number
    1525712-2015-00234
    Event Type
    Malfunction
    Date Received
    January 12, 2015
    Date of Event
    December 19, 2014
    Report Date
    December 23, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER ALLEGES THE HTR RECLINER CHAIR LEFT LOCK CYLINDER WAS NOT HOLDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    26949 TRANSPORT 20 IN X 16 IN 9153637574 WHEELCHAIR, MECHANICAL IOR UNKNOWN HTR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other