inforMED
MalfunctionILS

MEDLINE

Received Jul 16, 2026 · Event occurred Jul 28, 2023

Report 1417592-2026-06054 · MDR key 25838918

Device

Generic name

Commode,3 In 1,steel Fld, 350 Lb

Catalog number

G1-200X4

Product problems

  • Component Missing

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

IT WAS REPORTED THAT ONE OF THE ORDERS, "DID NOT BRING THE SCREW OR PEG THAT CONNECTS THE CHAIR TOGETHER," WHICH APPEARS TO BE THE PUSH BUTTON ON THE UNIT. PER REPORT, CUSTOMER COMPLAINING OF MISSING CONNECTING PIECE FOR CHAIR. PHOTO SHOWS THAT UNIT IS MISSING PUSH BUTTON ON ONE OF THE LEGS INDICATING FRAME DAMAGE IS PRESENT. THERE WERE NO REPORTS OF DEATH, SERIOUS INJURY, MEDICAL INTERVENTION, OR FOLLOW UP CARE. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR AGAIN. IN AN ABUNDANCE OF CAUTION, THIS IS A REPORTABLE EVENT. IF ADDITIONAL INFORMATION BECOMES AVAILABLE THIS REPORT WILL BE REOPENED AND REEVALUATED. THIS MEDICAL DEVICE REPORT (MDR) IS BEING SUBMITTED AS PART OF RETROSPECTIVE REVIEW ACTIVITIES, WHICH INCLUDE REVIEW OF HISTORICAL DATA IN ACCORDANCE WITH REGULATIONS AT 21 CFR PART 803. THE INFORMATION INCLUDED IN THIS MDR REFLECTS THE INFORMATION REASONABLY KNOWN TO THE MANUFACTURER AT THE TIME OF THIS RETROSPECTIVE REVIEW AND SUBMISSION.

Description of Event or Problem

IT WAS REPORTED THAT ONE OF THE ORDERS, "DID NOT BRING THE SCREW OR PEG THAT CONNECTS THE CHAIR TOGETHER," WHICH APPEARS TO BE THE PUSH BUTTON ON THE UNIT.