BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2960040 · Received February 13, 2013

    Report

    Report Number
    1531186-2013-00591
    Date Received
    February 13, 2013
    Report Date
    February 13, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - THE DEALER REPORTED THAT THE 1320RTS RAISED TOILET SEAT ADJUSTABLE KNOBS WERE BROKEN, AND THE ARMS WOULD NOT TIGHTEN ENOUGH TO MAKE THE UNIT STABLE. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    63471 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 1302RTS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other