BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICE

    MDR report key: 3232205 · Received October 4, 2012

    Report

    Report Number
    1000282279-2012-00027
    Event Type
    Malfunction
    Date Received
    October 4, 2012
    Report Date
    October 4, 2012
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    (B)(4) - THE DEALER STATED THAT THE CONSUMER ALLEGEDLY FELL TWICE WHILE HOLDING THE 710-4 GRAB BAR. THERE WAS NO INJURY REPORTED. REF (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ACTIVITY ASSIST DEVICE IKX FOSHAN R. POON MEDICAL PRODUCTS CO., LTD. 710-4

    Patients

    Seq Age Sex Outcome Treatment
    1 Other