BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3103509 · Received May 9, 2013

    Report

    Report Number
    1531186-2013-01984
    Date Received
    May 9, 2013
    Report Date
    April 15, 2013
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    POTENTIAL FOR INJURY ASSOCIATED WITH THE SUCTION CUPS COMING OFF THE MODEL 98071 SHOWER CHAIR. THIS EVENT COULD LEAD TO PRODUCT INSTABILITY AND SLIPPING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    202889 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 98071

    Patients

    Seq Age Sex Outcome Treatment
    1 Other