BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3973369 · Received August 1, 2014

    Report

    Report Number
    1531186-2014-02638
    Date Received
    August 1, 2014
    Date of Event
    June 13, 2014
    Report Date
    June 13, 2014
    Manufacturer
    POPULAR PLASTICS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER THE DEALER, THE PUSH BUTTONS ON THE LEGS RUSTED AND THEN BROKE IN HALF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    451057 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9670U

    Patients

    Seq Age Sex Outcome Treatment
    1 Other