BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3191421 · Received June 26, 2013

    Report

    Report Number
    1531186-2013-02792
    Date Received
    June 26, 2013
    Report Date
    May 31, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER CONSUMER THE SEAT CRACKED DOWN THE MIDDLE WHILE IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291441 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 9780

    Patients

    Seq Age Sex Outcome Treatment
    1 Other