BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3980695 · Received August 5, 2014

    Report

    Report Number
    1525712-2014-04386
    Event Type
    Malfunction
    Date Received
    August 5, 2014
    Report Date
    June 30, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER THE CASTERS ARE WORN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    457757 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN SELFCARE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other