BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2990732 · Received March 5, 2013

    Report

    Report Number
    1531186-2013-00907
    Date Received
    March 5, 2013
    Report Date
    February 7, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4) IT WAS REPORTED BY THE CONSUMER THAT THE 6895 COMMODE SEAT CRACKED DURING USE. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    93400 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 6895

    Patients

    Seq Age Sex Outcome Treatment
    1 Other