BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3233223 · Received July 18, 2013

    Report

    Report Number
    1525712-2013-05847
    Event Type
    Malfunction
    Date Received
    July 18, 2013
    Report Date
    June 24, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATED THAT THE SEAT ON THEIR UNKNOWN COMMODE IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    333859 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other