BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3952427 · Received July 23, 2014

    Report

    Report Number
    1531186-2014-02676
    Date Received
    July 23, 2014
    Date of Event
    June 16, 2014
    Report Date
    June 16, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CLAIMANT ALLEGED LEFT FOOTREST OF THE (B)(4) SHOWER CHAIR BROKE JUST ABOVE THE CURVE TO THE FRAME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    430351 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD 6891

    Patients

    Seq Age Sex Outcome Treatment
    1 Other