BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3970360 · Received July 31, 2014

    Report

    Report Number
    1531186-2014-02918
    Date Received
    July 31, 2014
    Date of Event
    June 25, 2014
    Report Date
    June 26, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ADVISED SEAT PAD IS CRACKED FROM ORDER (B)(4), NO INJURY, DEALER COULD NOT PROVIDE ANY FURTHER INFORMATION...(B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    447957 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 98071

    Patients

    Seq Age Sex Outcome Treatment
    1 Other