BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3121161 · Received May 20, 2013

    Report

    Report Number
    1531186-2013-02157
    Date Received
    May 20, 2013
    Report Date
    April 24, 2013
    Manufacturer
    LERADO GLOBAL
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER FACILITY, CLAMP ON SEAT BROKE. DIDN'T HAVE TIME TO COMPLETE THE FORM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    222824 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS LERADO GLOBAL 1302RTS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other