BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRANSPORT CHAIR

    MDR report key: 4755201 · Received May 6, 2015

    Report

    Report Number
    2182780-2015-00001
    Event Type
    Injury
    Date Received
    May 6, 2015
    Date of Event
    February 27, 2015
    Report Date
    May 4, 2015
    Manufacturer
    EUROCARE INNOVATION CO., LTD.
    Product Code
    IOR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    .

    Description of Event or Problem · 1

    BASED ON THE FACTS OBTAINED DURING INSURANCE COMPANY INVESTIGATION, END USER WAS SITTING IN A WHEELCHAIR MANUFACTURED BY CAREX, INC. WHEN THE BACK OF THE CHAIR COLLAPSED CAUSING HER TO FALL OUT OF THE WHEELCHAIR. END USER IS ALLEGING THAT SHE SUSTAINED INJURIES AS A RESULT OF THE FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    296350 TRANSPORT CHAIR TRANSPORT CHAIR IOR EUROCARE INNOVATION CO., LTD. FGA22600 0000

    Patients

    Seq Age Sex Outcome Treatment
    1 Other