BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3962544 · Received July 29, 2014

    Report

    Report Number
    1531186-2014-02830
    Date Received
    July 29, 2014
    Date of Event
    June 23, 2014
    Report Date
    June 24, 2014
    Manufacturer
    DONGGUAN CHUANGGUO
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NE, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER WILL NOT HOLD ON ONE SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    441367 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX DONGGUAN CHUANGGUO 218-3

    Patients

    Seq Age Sex Outcome Treatment
    1 Other