BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANAGO ICE PACK

    MDR report key: 14584 · Received July 8, 1994

    Report

    Report Number
    MW1002758
    Event Type
    Malfunction
    Date Received
    July 8, 1994
    Date of Event
    June 27, 1994
    Report Date
    June 28, 1994
    Manufacturer
    TECHNOL, INC.
    Product Code
    IMD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ICE PACK LEAKED, NO PT INVOLVEMENT; PRODUCT PROBLEM ONLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANAGO ICE PACK ICE PACK IMD TECHNOL, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other