FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 4123430 · Received September 26, 2014

Report

Report Number
1531186-2014-04493
Date Received
September 26, 2014
Report Date
September 6, 2014
Manufacturer
SUN ZING PLASTIC IRONWARE
Product Code
IKX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER ALLEGES THAT HIS CUSTOMER RETURNED THE 218-3 GRAB BARS DUE TO SUCTION CUPS NOT HOLDING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
600068 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX SUN ZING PLASTIC IRONWARE 218-3

Patients

Seq Age Sex Outcome Treatment
1 Other