BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3944375 · Received July 18, 2014

    Report

    Report Number
    9616091-2014-01233
    Event Type
    Malfunction
    Date Received
    July 18, 2014
    Date of Event
    June 10, 2014
    Report Date
    June 10, 2014
    Manufacturer
    INVAMEX
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER BACK LEG ON RIGHT SIDE IS JAMMED UP IN TUBE, CANNOT PULL OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    421645 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS INVAMEX 9669

    Patients

    Seq Age Sex Outcome Treatment
    1 Other