BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2422600 · Received January 20, 2012

    Report

    Report Number
    1525712-2012-00127
    Date Received
    January 20, 2012
    Date of Event
    January 3, 2012
    Report Date
    January 19, 2012
    Manufacturer
    POPULAR PLASTICS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CONSUMER'S REPLACEMENT CHAIR HAS ALLEGEDLY CRACKED IN THE SAME PLACE AS HIS PREVIOUS TWO CHAIRS CRACKED. HE ALLEGEDLY HAD TO RESCUE HIS WIFE FROM THE SHOWER THIS TIME AFTER THE CHAIR ALLEGEDLY BROKE AND HE HEARD CALLS FOR HELP. NO ALLEGED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9781

    Patients

    Seq Age Sex Outcome Treatment
    1 Other