FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3250528
·
Received July 26, 2013
Report
- Report Number
- 1531186-2013-03423
- Date Received
- July 26, 2013
- Report Date
- July 10, 2013
- Manufacturer
- KENSTONE METAL
- Product Code
- ILS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PROVIDER STATES LEFT BRAKE WILL NOT ENGAGE PROPERLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 350310 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | ILS | KENSTONE METAL | 6895 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |