BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3768686 · Received April 23, 2014

    Report

    Report Number
    1531186-2014-01503
    Date Received
    April 23, 2014
    Report Date
    March 27, 2014
    Manufacturer
    HENYI ENTERPRISE
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HOSPITAL STATES THE TOP MOUNTS ARE BENDING AT THE BASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    247271 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX HENYI ENTERPRISE 7714P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other