BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3243241 · Received July 23, 2013

    Report

    Report Number
    1531186-2013-03332
    Date Received
    July 23, 2013
    Report Date
    July 3, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE SEAT IS CRACKED AND CUSTOMER STATES ALSO BOTH FRONT LEGS ARE BENT. CUSTOMER STATES THE DEALER REFUSES TO RETURN THE CHAIR UNDER THE WARRANTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    343907 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 96-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other