BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DAILY ACTIVITY ASSIST DEVICE

    MDR report key: 6206538 · Received May 6, 2013

    Report

    Report Number
    1000282279-2013-00020
    Event Type
    Malfunction
    Date Received
    May 6, 2013
    Report Date
    May 8, 2013
    Manufacturer
    FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
    Product Code
    ILS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FROM IMPORTER'S MDR: 01/14/2013, RBS - THE DEALER REPORTED THAT THE UNK MODEL AND SERIAL NUMBER COMMODE WAS CRACKED. THERE WAS NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    198154 DAILY ACTIVITY ASSIST DEVICE COMMODE ILS FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other