BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHWR COMMODE 5 IN CASTER 18 INW 9153640951

    MDR report key: 4324342 · Received December 12, 2014

    Report

    Report Number
    1531186-2014-06170
    Event Type
    Malfunction
    Date Received
    December 12, 2014
    Report Date
    November 17, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NJ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    HOSPITAL ADVISED HAVE 22 CHAIRS AND FRONT RIGGINGS WERE REPLACED ON THEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    809443 SHWR COMMODE 5 IN CASTER 18 INW 9153640951 ADAPTOR, HYGIENE ILS UNKNOWN 6891

    Patients

    Seq Age Sex Outcome Treatment
    1 Other