FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3123259
·
Received May 21, 2013
Report
- Report Number
- 1531186-2013-02206
- Date Received
- May 21, 2013
- Report Date
- April 26, 2013
- Manufacturer
- UNKNOWN
- Product Code
- ILS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
PER END USER THE SEAT IS CRACKED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 224025 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | ILS | UNKNOWN | 9830-4 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 87 | Other |