BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2422601 · Received January 20, 2012

    Report

    Report Number
    1525712-2012-00126
    Date Received
    January 20, 2012
    Report Date
    January 19, 2012
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGES THAT THE CHAIR COLLAPSED IN THE MIDDLE. THE SEAT ALLEGEDLY FOLDED IN HALF AND THE LEGS BENT OUTWARD. THIS IS 2 OF 2 SHOWER CHAIRS INDICATED IN COMPLAINT NOTIFICATION. NO INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 96-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other