BEUDAMED
    FDA Adverse Event Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4103022 · Received September 19, 2014

    Report

    Report Number
    1531186-2014-04284
    Date Received
    September 19, 2014
    Date of Event
    August 28, 2014
    Report Date
    August 28, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER ALLEGES THE SEAT ON A 6497 COMMODE IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    582508 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 6497

    Patients

    Seq Age Sex Outcome Treatment
    1 Other