BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4243656 · Received November 11, 2014

    Report

    Report Number
    1525712-2014-07821
    Event Type
    Malfunction
    Date Received
    November 11, 2014
    Report Date
    October 23, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(6) STATES THAT HE HAS HAD THIS RAISED TOILET SEAT FOR A LONG TIME AND IT IS CRACKING AND IT HAS A LIFETIME WARRANTY. MODEL 685-1.....................

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    727880 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 685-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other