FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3724537 · Received April 3, 2014

Report

Report Number
1531186-2014-01133
Date Received
April 3, 2014
Date of Event
February 7, 2014
Report Date
February 7, 2014
Manufacturer
JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SEAT ON A SHOWER CHAIR CRACKED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
201818 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD 6895

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| O