FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3840844
·
Received May 30, 2014
Report
- Report Number
- 1531186-2014-01940
- Date Received
- May 30, 2014
- Report Date
- April 10, 2014
- Manufacturer
- UNKNOWN
- Product Code
- ILS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER STATES THE LEFT ARM REST IS CRACKED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 318229 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | ILS | UNKNOWN | 1392KD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 98 | Other |