BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LASERS

    MDR report key: 1570794 · Received December 23, 2009

    Report

    Report Number
    MW5014173
    Event Type
    Malfunction
    Date Received
    December 23, 2009
    Report Date
    December 23, 2009
    Manufacturer
    SPECTRANETICS CORP.
    Product Code
    MFA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    FAILURE TO PROVIDE INFORMATION AS REQUIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LASERS LASERS MFA SPECTRANETICS CORP. LASERS O

    Patients

    Seq Age Sex Outcome Treatment
    1 Other