FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3734604 · Received April 8, 2014

Report

Report Number
1531186-2014-01232
Date Received
April 8, 2014
Date of Event
January 1, 2014
Report Date
March 10, 2014
Manufacturer
UNKNOWN
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SEAT OF THE SHOWER CHAIR IS CRACKED IN THE FRONT BETWEEN THE LEGS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
210626 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 9780

Patients

Seq Age Sex Outcome Treatment
1 70 Other