BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSFER BENCH 9153631800

    MDR report key: 4518454 · Received February 16, 2015

    Report

    Report Number
    1531186-2015-00985
    Event Type
    Malfunction
    Date Received
    February 16, 2015
    Report Date
    February 9, 2015
    Manufacturer
    POPULAR PLASTICS
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY END USER THAT PART #1060379 IS MISSING FROM THE BOX, OUT OF BOX FAILURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    111630 TRANSFER BENCH 9153631800 ADAPTOR, HYGIENE ILS POPULAR PLASTICS 9670

    Patients

    Seq Age Sex Outcome Treatment
    1 Other