BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    T30 PROVISIONAL DRIVER

    MDR report key: 1377633 · Received March 6, 2009

    Report

    Report Number
    2242816-2009-00010
    Event Type
    Malfunction
    Date Received
    March 6, 2009
    Date of Event
    October 15, 2008
    Report Date
    February 25, 2009
    Manufacturer
    EBI, L.P.
    Product Code
    HXX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TU
    Reporter Occupation
    NOT APPLICABLE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 T30 PROVISIONAL DRIVER HXX EBI, L.P. PL297H

    Patients

    Seq Age Sex Outcome Treatment
    1