BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3910906 · Received July 2, 2014

    Report

    Report Number
    1531186-2014-02339
    Date Received
    July 2, 2014
    Report Date
    May 30, 2014
    Manufacturer
    R. POON
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    RUBBER FOOT TIPS HAVE BROKEN OFF THE STEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    387315 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX R. POON 9785-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other