FDA Adverse Event Malfunction Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3771806 · Received April 24, 2014

Report

Report Number
9616091-2014-00758
Event Type
Malfunction
Date Received
April 24, 2014
Report Date
March 24, 2014
Manufacturer
INVAMEX
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE LEG OF A TRANSFER BENCH WAS BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249875 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX INVAMEX 9670

Patients

Seq Age Sex Outcome Treatment
1 Other