FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3250813 · Received July 29, 2013

Report

Report Number
1531186-2013-03414
Date Received
July 29, 2013
Report Date
July 10, 2013
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A 98071 TRANSFER BENCH HAD A BROKEN BACK NEAR THE PLASTIC BRACKET UNDER THE SEAT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
352559 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 98071

Patients

Seq Age Sex Outcome Treatment
1 Other