BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3133187 · Received May 29, 2013

    Report

    Report Number
    1531186-2013-02338
    Date Received
    May 29, 2013
    Report Date
    May 2, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE UNIT WILL NOT LATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    235530 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 1392KD

    Patients

    Seq Age Sex Outcome Treatment
    1 Other