BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4211194 · Received October 29, 2014

    Report

    Report Number
    1531186-2014-05193
    Date Received
    October 29, 2014
    Report Date
    October 6, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT RIGHT SIDE CASTER IS NOT SWIVELING, HAVING ISSUES WHEN 6795 SHOWER COMMODE CHAIR IS HARD TO PUSH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    691949 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD 6795

    Patients

    Seq Age Sex Outcome Treatment
    1 Other