FDA Adverse Event Malfunction Summary report: N

KIRWAN DISPOSABLE BIPOLAR CABLE

MDR report key: 1668675 · Received April 22, 2010

Report

Report Number
MW5015672
Event Type
Malfunction
Date Received
April 22, 2010
Date of Event
April 22, 2010
Report Date
April 22, 2010
Manufacturer
KIRWAN
Product Code
HIN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

LOT 0111110 CORDS DIFFICULT TO PLUG INTO VALLEYLAB MACHINE. FORWARDING 5 TO KIRWAN FOR EVAL. (B) (6)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KIRWAN DISPOSABLE BIPOLAR CABLE DISPOSABLE BIPOLAR CABLE HIN KIRWAN 011110

Patients

Seq Age Sex Outcome Treatment
1