BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3022211 · Received March 26, 2013

    Report

    Report Number
    1531186-2013-01294
    Date Received
    March 26, 2013
    Report Date
    February 27, 2013
    Manufacturer
    POPULAR PLASTICS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATES RUBBER FEET KEEP COMING OFF IN THE TUB.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    123773 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9781

    Patients

    Seq Age Sex Outcome Treatment
    1 Other