BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSFER BENCH W/PAD/VINYL 9153633393

    MDR report key: 5003234 · Received August 14, 2015

    Report

    Report Number
    9616091-2015-02060
    Event Type
    Malfunction
    Date Received
    August 14, 2015
    Report Date
    July 21, 2015
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE A SUPPLEMENTAL RECORD WILL BE FILED.

    Description of Event or Problem · 1

    CALLED CONTACT WHO STATED THAT THE LEG HAD BROKEN IN HALF ON THE TRANSFER BENCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    537860 TRANSFER BENCH W/PAD/VINYL 9153633393 ADAPTOR, HYGIENE IOR INVAMEX 9871-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Other