FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3181015 · Received June 20, 2013

Report

Report Number
1531186-2013-02727
Date Received
June 20, 2013
Report Date
May 23, 2013
Manufacturer
UNKNOWN
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES BATH CHAIR LEG SPREADING OUT AND TIPS WEARING OUT UNUSALLY FAST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
280804 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 91-2

Patients

Seq Age Sex Outcome Treatment
1 Other