FDA Adverse Event Malfunction Summary report: N

*

MDR report key: 1122244 · Received June 5, 2008

Report

Report Number
1519132-2008-00005
Event Type
Malfunction
Date Received
June 5, 2008
Manufacturer
GYRUS ACMI, INC.
Product Code
FDC
PMA / PMN Number
PREAMENDMENT
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

AT THE TIME OF THIS REPORT, MULTIPLE ATTEMPTS TO OBTAIN FURTHER INFO FROM THE HOSP HAVE BEEN UNSUCCESSFUL, AND THE DEVICE HAS NOT BEEN RETURNED FOR EVAL. AS A RESULT, A DETERMINATION CANNOT BE MADE AT THIS TIME. WHEN FURTHER INFO BECOMES AVAILABLE, GYRUS ACMI WILL CONTINUE THE INVESTIGATION AND UPDATE THE AGENCY ACCORDINGLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * FDC GYRUS ACMI, INC. * *

Patients

Seq Age Sex Outcome Treatment
1