BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPPORT ARM 177

    MDR report key: 12873588 · Received November 25, 2021

    Report

    Report Number
    8010042-2021-02788
    Event Type
    Malfunction
    Date Received
    November 25, 2021
    Report Date
    November 25, 2021
    Manufacturer
    MAQUET CRITICAL CARE AB
    Product Code
    IOY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CH
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    NO REPAIR WAS REQUESTED AND NO PARTS WERE RETURNED. THE SUPPORT ARM IS A CASTING AND IT MOST PROBABLY DEVELOPED A CRACK AT AN EARLIER OCCASION EITHER BY OVERLOADING OR IMPACT AND THIS LED TO THE REPORTED BREAKING. THE SUPPORT ARM HAS BEEN SUCCESSFULLY TESTED FOR MECHANICAL STRENGTH AND IS DESIGNED ACCORDING TO STANDARD.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE SUPPORT ARM BROKE. THERE WAS NO PATIENT HARM. MANUFACTURER'S REF #: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1773139 SUPPORT ARM 177 SUPPORT, ARM IOY MAQUET CRITICAL CARE AB SUPPORT ARM 177

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown