FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3250946
·
Received July 29, 2013
Report
- Report Number
- 1531186-2013-03432
- Date Received
- July 29, 2013
- Report Date
- July 10, 2013
- Manufacturer
- UNKNOWN
- Product Code
- IKX
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
THE DEALER IS REPORTING A CRACK IN THE BASE OF THE SEAT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 353308 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | IKX | UNKNOWN | 9781-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |