FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3811757 · Received May 15, 2014

Report

Report Number
1531186-2014-01787
Date Received
May 15, 2014
Report Date
December 9, 2013
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

LEG BUCKLED WHEN THE END USER SAT ON THE TRANSFER BENCH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
289339 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 98071

Patients

Seq Age Sex Outcome Treatment
1 Other