BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    20 MHZ MICRO DISPOSABLE DOPPLER PROBE

    MDR report key: 11982887 · Received June 10, 2021

    Report

    Report Number
    MW5101828
    Event Type
    Malfunction
    Date Received
    June 10, 2021
    Date of Event
    June 8, 2021
    Report Date
    June 9, 2021
    Manufacturer
    VASCULAR TECHNOLOGY INCORPORATED
    Product Code
    DPW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    MIZUHO 20 MHZ MICRO DISPOSABLE DOPPLER PROBE WOULD NOT WORK. FDA SAFETY REPORT ID# (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    874972 20 MHZ MICRO DISPOSABLE DOPPLER PROBE FLOWMETER, BLOOD, CARDIOVASCULAR DPW VASCULAR TECHNOLOGY INCORPORATED 07-150-12 (10)17128

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR