BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHWR COMMODE 5 IN CASTER 18 INW 9153640951

    MDR report key: 4348196 · Received December 19, 2014

    Report

    Report Number
    1525712-2014-08106
    Event Type
    Malfunction
    Date Received
    December 19, 2014
    Report Date
    October 30, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IKX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER ALLEGES THAT THE 6490 SHOWER COMMODE CHAIR SEAT IS VERY WORN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    837256 SHWR COMMODE 5 IN CASTER 18 INW 9153640951 ADAPTOR, HYGIENE IKX UNKNOWN 6490

    Patients

    Seq Age Sex Outcome Treatment
    1 Other