BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3953063 · Received July 23, 2014

    Report

    Report Number
    1531186-2014-02723
    Date Received
    July 23, 2014
    Date of Event
    May 30, 2014
    Report Date
    June 13, 2014
    Manufacturer
    HEALTHPLUS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES THE TRAPEZE FLOOR STAND IS CRACKED DOWN BY THE BOTTOM OF THE BASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    431066 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX HEALTHPLUS 7714P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other