BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3843918 · Received June 2, 2014

    Report

    Report Number
    1531186-2014-02038
    Date Received
    June 2, 2014
    Date of Event
    April 2, 2014
    Report Date
    April 16, 2014
    Manufacturer
    GOODBABY
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGES THE SEAT CRACKED AT THE SEAM IN FRONT OF THE SEAT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    321151 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX GOODBABY 96-2

    Patients

    Seq Age Sex Outcome Treatment
    1 80 Other