MAUDE MDR 3370312

MDR report key
3370312
Report number
3005536958-2013-00043
Event key
0
Event type
3
Date of event
2013-06-01
Date received
2013-09-11
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
D
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LINIDO COMBI WIDELINIDOINB201911314* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-09-110

Event Narratives#

D

Patient 1

PT FELL OFF COMMODE FACE FIRST DUE TO THE SEAT NOT BEING CORRECTLY SECURED IN PLACE. NO FURTHER DETAILS OF THE INCIDENT SUPPLIED.