BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MER STAND, INTERNATIONAL

    MDR report key: 10950598 · Received December 5, 2020

    Report

    Report Number
    3006260740-2020-20805
    Event Type
    Malfunction
    Date Received
    December 5, 2020
    Date of Event
    November 12, 2020
    Report Date
    November 21, 2020
    Manufacturer
    C.R. BARD, INC. (BASD) -3006260740
    Product Code
    FOX
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE HAS NOT BEEN RECEIVED BY THE MANUFACTURER FOR EVALUATION. A HISTORY REVIEW IS NOT POSSIBLE; AS THE MER STAND IS NOT LABELED WITH A SERIAL NUMBER.

    Description of Event or Problem · 1

    CUSTOMER REPORTS BROKEN HANDLE ON USG CART, MAKING TRANSPORTATION DIFFICULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1420545 MER STAND, INTERNATIONAL STAND, INFUSION FOX C.R. BARD, INC. (BASD) -3006260740

    Patients

    Seq Age Sex Outcome Treatment
    1 Other