FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 2932049
·
Received January 28, 2013
Report
- Report Number
- 1531186-2013-00329
- Date Received
- January 28, 2013
- Report Date
- January 28, 2013
- Manufacturer
- LERADO GLOBAL
- Product Code
- KMN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER DEALER TABLE TOP BROKE OFF. MDR FILED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 37375 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | KMN | LERADO GLOBAL | 6417 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |