BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3233019 · Received July 18, 2013

    Report

    Report Number
    1531186-2013-03213
    Date Received
    July 18, 2013
    Report Date
    June 24, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES BOTH ARMS ARE BROKEN OF THE COMMODE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    335742 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 6496

    Patients

    Seq Age Sex Outcome Treatment
    1 Other