FDA Adverse Event
Malfunction
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3203256
·
Received July 2, 2013
Report
- Report Number
- 9616091-2013-01134
- Event Type
- Malfunction
- Date Received
- July 2, 2013
- Report Date
- June 11, 2013
- Manufacturer
- INVAMEX
- 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 CONSUMER THE SEAT IS CRACKED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 302881 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | ILS | INVAMEX | 9610-4 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |