BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FOUR SHOOTER SAEED MULTI-BAND LIGATOR

    MDR report key: 1031942 · Received October 5, 2006

    Report

    Report Number
    1037905-2006-00113
    Event Type
    Malfunction
    Date Received
    October 5, 2006
    Date of Event
    July 31, 2006
    Report Date
    September 5, 2006
    Manufacturer
    COOK ENDOSCOPY
    Product Code
    MND
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TW
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FOUR SHOOTER SAEED MULTI-BAND LIGATOR LIGATORS MND COOK ENDOSCOPY NA W2220931

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN