BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ASSIST DEVICE

    MDR report key: 3232208 · Received October 4, 2012

    Report

    Report Number
    1000282279-2012-00024
    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
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGES ONE OF THE BACK LEGS IS BENT AND THE PAINT IS CRACKED. ORIGINAL ORDER (B)(4) 2012. REF (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ASSIST DEVICE DAILY ASSIST DEVICE IKX FOSHAN R. POON MEDICAL PRODUCTS CO., LTD. 6599

    Patients

    Seq Age Sex Outcome Treatment
    1 Other