BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IPU

    MDR report key: 287785 · Received July 18, 2000

    Report

    Report Number
    287785
    Event Type
    Malfunction
    Date Received
    July 18, 2000
    Date of Event
    July 3, 2000
    Report Date
    July 13, 2000
    Manufacturer
    IPU
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SHOWER CHAIR WHEEL BROKE (CAME APART FROM CHAIR LEG).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IPU SHOWER CHAIR INM IPU SCC-250 *

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Other