BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3160620 · Received June 10, 2013

    Report

    Report Number
    1531186-2013-02522
    Date Received
    June 10, 2013
    Report Date
    May 14, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATES THE SHOWER CHAIR 400# RATED HAS A 2" CRACK IN THE MIDDLE OF THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    260294 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 95-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other