BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3955324 · Received July 24, 2014

    Report

    Report Number
    1531186-2014-02731
    Date Received
    July 24, 2014
    Date of Event
    June 12, 2014
    Report Date
    June 18, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIP.
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER ADVISED FRONT RIGHT CASTER WHEEL WILL NOT SWIVEL OR MOVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    433001 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX JIANGSU YUYUE MEDICAL EQUIP. 6895

    Patients

    Seq Age Sex Outcome Treatment
    1 Other