BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3719527 · Received April 1, 2014

    Report

    Report Number
    9616091-2014-00572
    Event Type
    Malfunction
    Date Received
    April 1, 2014
    Report Date
    March 3, 2014
    Manufacturer
    INVAMEX
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SEAT OF THE COMMODE IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    194792 DAILY ACTIVITY ASSIST DEVICES 890.5050 IKX INVAMEX 9630-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other