BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    IMMERSION HYDROBATH

    MDR report key: 2893859 · Received January 2, 2013

    Report

    Report Number
    1525712-2013-00038
    Event Type
    Malfunction
    Date Received
    January 2, 2013
    Report Date
    January 2, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ILJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES DOOR SEAL IS DEFECTIVE ON THE WHIRLPOOL TUB AND PER POLICY REPLACING DOOR SEAL. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    467 IMMERSION HYDROBATH 890.5100 ILJ INVACARE TAYLOR STREET IH3700

    Patients

    Seq Age Sex Outcome Treatment
    1 Other