BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4102732 · Received September 19, 2014

    Report

    Report Number
    1531186-2014-04295
    Date Received
    September 19, 2014
    Date of Event
    August 20, 2014
    Report Date
    August 27, 2014
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGED THAT THE LEG IS BROKEN UNDERNEATH THE SEAT WHERE IT CONNECTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    584244 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX PINGHU WEIFENG MATERIAL TECHNOLOGY 96-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other