MAUDE Adverse Event Report: LERADO GLOBAL CLAMP-ON RAISED TOILET SEAT W/ARMS 9153651324; ADAPTOR, HYGIENE

Model Number 1302RTS

Device Problems Unstable (1667); Device Damaged Prior to Use (2284)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Type  malfunction  

Event Description

It has been reported by a dealer that the bracket on that the black screw goes into on a 1302rts raised toilet seat is broken out of the box.

• Brand Name: CLAMP-ON RAISED TOILET SEAT W/ARMS 9153651324
• Type of Device: ADAPTOR, HYGIENE
• Manufacturer (Section D): LERADO GLOBAL; no. 26-54b,; 7andar h7 edif. centro com; macau ; CH
• MDR Report Key: 4348507
• MDR Text Key: 16895562
• Report Number: 1531186-2014-06507
• Device Sequence Number: 1
• Product Code: ILS
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Distributor
• Source Type: Invalid Data
• Reporter Occupation: Medical Equipment Company Technician/Representative
• Type of Report: Initial
• Report Date: 12/17/2014,11/03/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 12/19/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 1302RTS
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 12/17/2014
• Distributor Facility Aware Date: 11/03/2014
• Device Age: 4 MO
• Date Report to Manufacturer: 12/17/2014
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Other