BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 2974446 · Received February 22, 2013

    Report

    Report Number
    1531186-2013-00727
    Date Received
    February 22, 2013
    Report Date
    February 22, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    MDR DECISION DATE: (B)(6). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER THE DEALER, THE CLAMP WILL NO LONGER HOLD RAISED TOILET SEAT TO THE TOILET BOWL. IT HAS BECOME VERY LOOSE AND WILL NO LONGER TIGHTEN. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    78257 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 1302RTS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other