BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3821783 · Received May 20, 2014

    Report

    Report Number
    1531186-2014-01880
    Date Received
    May 20, 2014
    Report Date
    April 7, 2014
    Manufacturer
    KENSTONE METAL
    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

    PROVIDER STATES THE CLAMPS ON THE BOTTOM OF THE SEAT ARE LOOSE AND THE SEAT WILL MOVE SIDE TO SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299000 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX KENSTONE METAL 6891

    Patients

    Seq Age Sex Outcome Treatment
    1 Other