BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICE

    MDR report key: 6206572 · Received June 14, 2013

    Report

    Report Number
    1000282279-2013-00041
    Event Type
    Malfunction
    Date Received
    June 14, 2013
    Report Date
    June 13, 2013
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PER IMPORTER'S MDR: DEALER ADVISED THAT SEAT IS CRACKED AND BROKEN (P/N 1112182).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    272467 DAILY ACTIVITY ASSIST DEVICE DAILY ACTIVITY ASSIST DEVICE ILS FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other