BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DAILY ACTIVITY ASSIST DEVICE

    MDR report key: 6206511 · Received June 14, 2013

    Report

    Report Number
    1000282279-2013-00033
    Event Type
    Injury
    Date Received
    June 14, 2013
    Date of Event
    June 9, 2012
    Report Date
    June 13, 2013
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
    Product Code
    ILS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AS PER IMPORTER'S MDR: ON (B)(6) 2012 - RBS, IT WAS REPORTED BY THE CONSUMER THAT BY OUR LEGAL DEPARTMENT RECEIVED A LETTER FROM AN ATTORNEY ON BEHALF OF A PT OF AN UNK MODEL AND SERIAL NUMBER SHOWER CHAIR, WHICH ALLEGEDLY HAS COLLAPSED DURING USE, RESULTING IN UNSPECIFIED INJURIES. SHOULD WE RECEIVE ADD'L INFO, A SUPPLEMENTAL REPORT WILL BE SUBMITTED TO REFLECT IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    272465 DAILY ACTIVITY ASSIST DEVICE SHOWER CHAIR ILS FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other