TOILET SEAT 5.5 INCH 300LB
Received Jul 18, 2018 · Event occurred Jun 17, 2018
Report 1423537-2018-00224 · MDR key 7697875
Device
Generic name
Adaptor, Hygiene
Manufacturer
Jan Mao Industries Co. Ltd.Model number
CBAS0027RCatalog number
CBAS0027R
Lot number
UNKNOWN
Product problems
- Device Dislodged or Dislocated
- Device Dislodged or Dislocated
Patient
94 YR
- Fall
- Fall
Narrative
Additional Manufacturer Narrative
BASED ON THE SUPPLIER¿S INVESTIGATION, THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED AS A LOT NUMBER WAS NOT PROVIDED. THE DEVICE MASTER RECORD FOR THIS PRODUCT WAS REVIEWED AND THERE HAVE BEEN NO CHANGES IN MATERIAL, DESIGN OR PRODUCTION PROCESS. AS THE SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION, THE ROOT CAUSE FOR THE REPORTED ISSUE COULD NOT BE DETERMINED FROM THIS INVESTIGATION. THE COMPLAINT INFORMATION WAS PROVIDED TO THE RELEVANT SECTORS FOR THEIR AWARENESS. THERE IS NO ADDITIONAL ACTION TAKEN AT THIS TIME, BUT THE SUPPLIER WILL CONTINUE TO MONITOR THE TREND OF THIS TYPE OF INCIDENT.
Description of Event or Problem
(B)(6) CALLED IN STATING HIS WIFE FELL ON (B)(6) 2018 AND INJURED HER KNEES WHEN THE TOILET SEAT SLID FROM THE COMMODE AS SHE WAS GETTING UP. SHE WENT TO AN ORTHOPEDIC SURGEON AND HE WITHDREW FLUID FROM HER KNEES.