BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3011670 · Received March 19, 2013

    Report

    Report Number
    1531186-2013-01132
    Date Received
    March 19, 2013
    Report Date
    February 25, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER REPORTED THAT THE TOILET SEAT FRAME WAS BENT WHICH COULD CAUSE THE SEAT TO BE UNSTABLE AND THE USER TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    114506 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 1392KD

    Patients

    Seq Age Sex Outcome Treatment
    1 Other