FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3241833
·
Received July 22, 2013
Report
- Report Number
- 1531186-2013-03289
- Date Received
- July 22, 2013
- Report Date
- July 2, 2013
- Manufacturer
- POPULAR PLASTICS
- Product Code
- IKX
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A 9780 SHOWER CHAIR HAD A CRACKED SEAT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 341040 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | IKX | POPULAR PLASTICS | 9780 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |