FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3940807 · Received July 17, 2014

Report

Report Number
1531186-2014-02549
Date Received
July 17, 2014
Report Date
June 9, 2014
Manufacturer
PINGHU WEIFENG MATERIAL TECHNOLOGY
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

SEAT CRACKED PER PROVIDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418671 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 96-2

Patients

Seq Age Sex Outcome Treatment
1 Other