FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3913064 · Received July 3, 2014

Report

Report Number
1531186-2014-02372
Date Received
July 3, 2014
Report Date
June 2, 2014
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

CUSTOMER STATES THE SEAT SEAM HAS SEPARATED .

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
391351 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 91-2

Patients

Seq Age Sex Outcome Treatment
1 Other