BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAREX TRANSPORT CHAIR

    MDR report key: 5192017 · Received October 30, 2015

    Report

    Report Number
    2182780-2015-00018
    Event Type
    Injury
    Date Received
    October 30, 2015
    Date of Event
    September 27, 2015
    Report Date
    October 30, 2015
    Manufacturer
    MASS CORPORATION/MAXHEALTH
    Product Code
    INM
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    DE, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CALLED IN REQUESTING A LEFT BACK HANDLE FOR THE A226. CARE GIVER PUT WIFE IN THE CAR IN THE TRANSPORT CHAIR AND TOOK A CORNER AND WIFE FELL OVER BACKWARDS IN THE CHAIR AND ENDED UP IN THE EMERGENCY ROOM. CALLER SAID IT WAS NO FAULT OF THE CHAIR WAS THE NEGLIGENCE OF CARE GIVER NOT TO STRAP HER IN. CHAIR IS ONLY 1 MOS OLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    722366 CAREX TRANSPORT CHAIR TRANSPORT CHAIR INM MASS CORPORATION/MAXHEALTH FGA22600 0000

    Patients

    Seq Age Sex Outcome Treatment
    1 Other