BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPPORT ARM 177

    MDR report key: 1625942 · Received March 3, 2010

    Report

    Report Number
    8010042-2010-00027
    Event Type
    Malfunction
    Date Received
    March 3, 2010
    Date of Event
    January 6, 2010
    Report Date
    February 8, 2010
    Manufacturer
    MAQUET CRITICAL CARE AB
    Product Code
    IOY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    (B) (4).

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE SUPPORT ARM HAD A CRACK IN THE JOINT. (B) (4)-(B) (4).

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1