FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3051748 · Received April 10, 2013

Report

Report Number
1531186-2013-01510
Date Received
April 10, 2013
Report Date
March 14, 2013
Manufacturer
KENSTONE METAL
Product Code
ILS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATES RIGHT BRAKE WILL NOT TIGHTEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
152747 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS KENSTONE METAL 6895

Patients

Seq Age Sex Outcome Treatment
1 Other