BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3892370 · Received June 24, 2014

    Report

    Report Number
    1531186-2014-02217
    Date Received
    June 24, 2014
    Date of Event
    May 24, 2014
    Report Date
    May 27, 2014
    Manufacturer
    UNKNOWN
    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 STATES THAT WHEN SITTING ON SHOWER CHAIR, THE BACK LEGS JUST SPREAD OUTWARDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    367973 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 9781

    Patients

    Seq Age Sex Outcome Treatment
    1 68 Other