BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICES

    MDR report key: 4243658 · Received November 11, 2014

    Report

    Report Number
    1525712-2014-07820
    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
    MD, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT ONE OF THE HEIGHT ADJUSTMENT PINS ON THE LEG OF A 6497 HEAVY DUTY COMMODE ISN'T POPPING OUT ALL THE WAY TO LOCK THE LEG IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    727935 DAILY ACTIVITY ASSIST DEVICES 890.5050 ILS UNKNOWN 6497

    Patients

    Seq Age Sex Outcome Treatment
    1 Other