FDA Adverse Event Malfunction Summary report: N

DRIVE DEVILBISS HEALTHCARE PRESERVETECH UNIVERSAL RAISED TOILET SEAT

MDR report key: 23434993 · Received October 31, 2025

Report

Report Number
3014644996-2025-00005
Event Type
Malfunction
Date Received
October 31, 2025
Date of Event
June 27, 2022
Report Date
October 31, 2025
Manufacturer
COM-DA HEALTHCARE CO.,LTD
Product Code
ILS
UDI-DI
00822383006147
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

ACCORDING TO COPY OF DRIVE DEVILBISS HEALTHCARE'S CONSUMER PRODUCT INCIDENT REPORT FILED WITH HEALTH CANADA: DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A RAISED TOILET SEAT BY THE PROVIDER WHO STATED THE SEAT BROKE WHILE IN USE CAUSING THE END USER TO FALL. THERE WAS NO REPORT OR EVIDENCE OF ILLNESS, SERIOUS INJURY OR MEDICAL TREATMENT ASSOCIATED WITH THE COMPLAINT. AS PART OF ITS COMPLAINT REVIEW AND EVALUATION PROCESS, DRIVE DEVILBISS HEALTHCARE WILL ALSO NOTIFY THE MANUFACTURER OF THE PRODUCT ABOUT THIS COMPLAINT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1562962 DRIVE DEVILBISS HEALTHCARE PRESERVETECH UNIVERSAL RAISED TOILET SEAT RAISED TOILET SEAT ILS COM-DA HEALTHCARE CO.,LTD RTL12C002-WH 00822383006147

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown