FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 2862648 · Received December 10, 2012

Report

Report Number
1531186-2012-01672
Date Received
December 10, 2012
Date of Event
October 1, 2012
Report Date
December 7, 2012
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CONSUMER STATED THAT THE 98071 TRANSFER BENCH IS ALLEGEDLY GETTING A DENT IN THE MIDDLE OF THE SEAT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 98071

Patients

Seq Age Sex Outcome Treatment
1 70 MO Other