FDA Adverse Event
Summary report: N
DAILY ACTIVITY ASSIST DEVICES
MDR report key: 3844578
·
Received June 3, 2014
Report
- Report Number
- 1531186-2014-02055
- Date Received
- June 3, 2014
- Report Date
- February 20, 2014
- Manufacturer
- RALON MEDICAL EQUIPMENT CO. LTD.
- Product Code
- ILS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATED THAT THE ARM ON A 6599 BARIATRIC COMMODE WAS BROKEN, OUT OF THE BOX.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 323975 | DAILY ACTIVITY ASSIST DEVICES | 890.5050 | ILS | RALON MEDICAL EQUIPMENT CO. LTD. | 6599 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |