BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IPU

    MDR report key: 237603 · Received August 24, 1999

    Report

    Report Number
    MW1017050
    Event Type
    Malfunction
    Date Received
    August 24, 1999
    Date of Event
    August 7, 1999
    Manufacturer
    INNOVATIVE PRODUCTS UNLIMITED, INC.
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MS, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    NO HARDWARE IN PACKAGE OR INSTRUCTIONS FOR ASSEMBLY. CHAIR CAME APART CAUSING RESIDENT TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IPU SHOWER CHAIR INM INNOVATIVE PRODUCTS UNLIMITED, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR