BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3241866 · Received July 22, 2013

    Report

    Report Number
    9616091-2013-01272
    Event Type
    Malfunction
    Date Received
    July 22, 2013
    Report Date
    July 2, 2013
    Manufacturer
    INVAMEX
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE END USER STATED THE SEAT IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    341883 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS INVAMEX 9630

    Patients

    Seq Age Sex Outcome Treatment
    1 Other