BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 3971182 · Received July 31, 2014

    Report

    Report Number
    1531186-2014-02910
    Date Received
    July 31, 2014
    Report Date
    June 25, 2014
    Manufacturer
    AQUATEC OPERATIONS GMBH
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATES THE PAIL WILL NOT SIT PROPERLY IN THE BRACKETS. VERY WOBBLY AND WILL FALL OVER WITH A SMALL NUDGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    448930 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS AQUATEC OPERATIONS GMBH 6795

    Patients

    Seq Age Sex Outcome Treatment
    1 Other