BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2950687 · Received February 8, 2013

    Report

    Report Number
    1531186-2013-00474
    Date Received
    February 8, 2013
    Report Date
    February 7, 2013
    Manufacturer
    SHUNLONG PHYSICAL THERAPY EQUIPMENT
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES CASTERS WILL NOT LOCK AND THE BACK UPHOLSTERY IS TEARING AT THE SEAM. THERE IS NO REPORT OF ANY INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    54439 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX SHUNLONG PHYSICAL THERAPY EQUIPMENT 6358

    Patients

    Seq Age Sex Outcome Treatment
    1 Other