BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ICE PACK LOADING CHUTE

    MDR report key: 12418 · Received March 31, 1994

    Report

    Report Number
    MW1001371
    Event Type
    Malfunction
    Date Received
    March 31, 1994
    Date of Event
    March 17, 1994
    Report Date
    March 22, 1994
    Manufacturer
    ANAGO, INC.
    Product Code
    IME
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NO HARM TO PT. HOLE IN BAG, WATER LEAKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ICE PACK LOADING CHUTE ICE PACK LOADING CHUTE IME ANAGO, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other