BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3013898 · Received March 20, 2013

    Report

    Report Number
    1531186-2013-01179
    Date Received
    March 20, 2013
    Report Date
    February 22, 2013
    Manufacturer
    POPULAR PLASTICS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER SCREWS WERE MISSING THAT WOULD HOLD THE TRANSFER BENCH TOGETHER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    115694 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9670U

    Patients

    Seq Age Sex Outcome Treatment
    1 Other