BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2461412 · Received February 20, 2012

    Report

    Report Number
    1531186-2012-00001
    Date Received
    February 20, 2012
    Date of Event
    February 6, 2012
    Report Date
    February 17, 2012
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT WHILE TRANSFER BENCH WAS BEING USED, THE CONSUMER HEARD A POP AND THE BENCH ALLEGEDLY CRACKED IN HALF. MINOR INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 9871

    Patients

    Seq Age Sex Outcome Treatment
    1 47 Other