BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4002374 · Received August 12, 2014

    Report

    Report Number
    1531186-2014-03143
    Date Received
    August 12, 2014
    Date of Event
    July 8, 2014
    Report Date
    July 8, 2014
    Manufacturer
    KENSTONE METAL
    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

    DEALER STATED THAT THE HARDWARE ON THE LEFT FOOTREST FOR A 6891 SHOWER COMMODE CHAIR HAS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    480926 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX KENSTONE METAL 6891

    Patients

    Seq Age Sex Outcome Treatment
    1 Other