BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3233130 · Received July 18, 2013

    Report

    Report Number
    1531186-2013-03224
    Date Received
    July 18, 2013
    Report Date
    June 26, 2013
    Manufacturer
    LERADO GLOBAL
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES FRONT PLASTIC CLAMP SNAPPED AT BOLT ATTACHMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    333552 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS LERADO GLOBAL 1302RTS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other