BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EXCITEOSA

    MDR report key: 11928802 · Received June 3, 2021

    Report

    Report Number
    3017737771-2021-00000
    Event Type
    Malfunction
    Date Received
    June 3, 2021
    Date of Event
    April 13, 2021
    Report Date
    April 19, 2021
    Manufacturer
    SIGNIFIER MEDICAL TECHNOLOGIES LTD
    Product Code
    QNO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    831698 EXCITEOSA EXCITEOSA QNO SIGNIFIER MEDICAL TECHNOLOGIES LTD 3000 N/A

    Patients

    Seq Age Sex Outcome Treatment
    1