BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PILLING CASTROVIEJO NH 7"

    MDR report key: 1659438 · Received April 9, 2010

    Report

    Report Number
    1044475-2010-00039
    Event Type
    Malfunction
    Date Received
    April 9, 2010
    Report Date
    March 15, 2010
    Manufacturer
    TELEFLEX MEDICAL
    Product Code
    HXK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RS
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE SAMPLE HAS BEEN REQUESTED, BUT NOT RECEIVED YET. THE RESULTS OF THE INVESTIGATION ARE NOT AVAILABLE AT THE TIME OF THIS REPORT. A FOLLOW UP REPORT WILL BE SENT WHEN INVESTIGATION IS COMPLETED.

    Description of Event or Problem · 1

    THE EVENT IS REPORTED AS: THE DEVICE HAS BEEN REPORTED AS BROKEN. NO FURTHER INFO AVAILABLE. NO PT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PILLING CASTROVIEJO NH 7" CASTROVIEJO 7" HXK TELEFLEX MEDICAL NA MM8

    Patients

    Seq Age Sex Outcome Treatment
    1