| Brand Name | TRANSCEND CHAIR W/PWRTRAX |
| Common Device Name | TRANSCEND CHAIR W/PWRTRAX |
| Manufacturer (Section D) |
| FERNO-WASHINGTON, INC. |
| 70 wiel way |
| wilmington OH 45177 |
|
| Manufacturer (Section G) |
| FERNO-WASHINGTON, INC. |
| 70 wiel way |
|
| wilmington OH 45177 |
|
| Manufacturer Contact |
|
dawn
greene
|
| 70 wiel way |
| wilmington, OH 45177
|
|
9372832900
|
|
| MDR Report Key | 22579130 |
| Report Number | 1523574-2025-00074 |
| Device Sequence Number | 9247542 |
| Product Code |
FPO
|
| UDI-Device Identifier | 00190790006334 |
| UDI-Public | (01)00190790006334(11)240415 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Other |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/23/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 0731405 |
| Device Catalogue Number | 0731405 |
| Device Lot Number | M856330 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/23/2025 |
| Initial Report FDA Received Date | 07/23/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/15/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |