BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4201697 · Received October 27, 2014

    Report

    Report Number
    1531186-2014-05085
    Date Received
    October 27, 2014
    Report Date
    October 3, 2014
    Manufacturer
    POPULAR PLASTICS
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES THAT HE FEELS LIKE THE LEGS ARE BOWING OUTWARD. CONSUMER IS SCARED THAT THE LEGS WILL GIVE OUT ON HIM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    681507 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX POPULAR PLASTICS 9780

    Patients

    Seq Age Sex Outcome Treatment
    1 Other