FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 2950898 · Received February 8, 2013

Report

Report Number
1531186-2013-00499
Date Received
February 8, 2013
Report Date
February 8, 2013
Manufacturer
POPULAR PLASTICS
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER DEALER, THE SEAT IS CRACKED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
55222 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9780

Patients

Seq Age Sex Outcome Treatment
1 Other