BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4180620 · Received October 17, 2014

    Report

    Report Number
    1531186-2014-04930
    Date Received
    October 17, 2014
    Report Date
    September 26, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE UPHOLSTERY HAS RIPPED ON THE BACK AND THE BOTTOM OF THE 6895 SHOWER COMMODE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    663076 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX UNKNOWN 6895

    Patients

    Seq Age Sex Outcome Treatment
    1 Other