BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2832758 · Received November 14, 2012

    Report

    Report Number
    1531186-2012-01389
    Date Received
    November 14, 2012
    Report Date
    November 9, 2012
    Manufacturer
    LERADO GLOBAL
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. CONSUMER STATES THAT HER RAISED TOILET SEAT TIPPED OFF THE TOILET WHILE SHE WAS ON IT AND SHE ALMOST FELL. STATES THAT THE TABS ON THE TOILET SEAT DID NOT GRAB THE SEAT CORRECTLY. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS LERADO GLOBAL 685-1

    Patients

    Seq Age Sex Outcome Treatment
    1 76 Other