BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3090806 · Received May 2, 2013

    Report

    Report Number
    1525712-2013-03475
    Event Type
    Malfunction
    Date Received
    May 2, 2013
    Report Date
    April 8, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES LEGS DO NOT STAY IN PLACE, THEY SLIDE DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    192277 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 9780

    Patients

    Seq Age Sex Outcome Treatment
    1 90 Other