BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3243364 · Received July 23, 2013

    Report

    Report Number
    1525712-2013-06050
    Event Type
    Malfunction
    Date Received
    July 23, 2013
    Report Date
    July 1, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER WROTE A LETTER ADVISING THAT THE SEAT ON THE COMMODE CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    344291 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other