BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3821743 · Received May 20, 2014

    Report

    Report Number
    9616091-2014-00901
    Event Type
    Malfunction
    Date Received
    May 20, 2014
    Report Date
    April 7, 2014
    Manufacturer
    INVAMEX
    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

    PER PROVIDER THE LATCH IS BENT THEREFORE THE ARM KEEPS FALLING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    298493 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS INVAMEX 9669

    Patients

    Seq Age Sex Outcome Treatment
    1 Other