BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALL-IN-ONE COMMODE 9153629772

    MDR report key: 4790125 · Received May 22, 2015

    Report

    Report Number
    9616091-2015-01322
    Event Type
    Malfunction
    Date Received
    May 22, 2015
    Report Date
    April 29, 2015
    Manufacturer
    INVAMEX
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    SHOULD MORE PERTINENT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE FILED.

    Description of Event or Problem · 1

    THE SEAT HAS A CRACK IN IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    334692 ALL-IN-ONE COMMODE 9153629772 ADAPTOR, HYGIENE ILS INVAMEX 9610-4 011414

    Patients

    Seq Age Sex Outcome Treatment
    1 Other