BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3171333 · Received June 14, 2013

    Report

    Report Number
    1531186-2013-02617
    Date Received
    June 14, 2013
    Report Date
    May 21, 2013
    Manufacturer
    KENSTONE METAL
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    POTENTIAL FOR INJURY ASSOCIATED WITH A CRACKED SEAT ON A 6895 COMMODE. THIS EVENT CREATES THE POTENTIAL FOR A PINCH OR FALL INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    271911 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS KENSTONE METAL 6895

    Patients

    Seq Age Sex Outcome Treatment
    1 Other