FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3230590 · Received July 16, 2013

Report

Report Number
1531186-2013-03205
Date Received
July 16, 2013
Report Date
June 26, 2013
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE PROVIDER STATED THE LEGS ARE FLARED OUT AND THE END USER WAS AFRAID TO USE THE CHAIR FOR FEAR IT WOULD COLLAPSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
329057 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 96-2

Patients

Seq Age Sex Outcome Treatment
1 Other