FDA Adverse Event Summary report: N

DAILY ACTIVITY ASSIST DEVICES

MDR report key: 3840345 · Received May 30, 2014

Report

Report Number
1531186-2014-02012
Date Received
May 30, 2014
Date of Event
February 26, 2014
Report Date
February 27, 2014
Manufacturer
UNKNOWN
Product Code
ILS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT THE SEAT ON A 6500-BHD COMMODE HAS CRACKED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
318594 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 6500-BHD

Patients

Seq Age Sex Outcome Treatment
1 Other