BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3743344 · Received April 11, 2014

    Report

    Report Number
    1531186-2014-01303
    Date Received
    April 11, 2014
    Report Date
    March 12, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE RIGHT FRONT LEG BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    223687 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 91-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other