BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2990745 · Received March 5, 2013

    Report

    Report Number
    1531186-2013-00905
    Date Received
    March 5, 2013
    Report Date
    February 7, 2013
    Manufacturer
    KENSTONE METAL
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    THE CARETAKER FOR THE END-USER REPORTED THAT THE CENTER PLUG COVER IS STARTING TO CRACK AROUND THE RIGHT LIP IN THE FRONT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    93558 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX KENSTONE METAL 6891

    Patients

    Seq Age Sex Outcome Treatment
    1 Other