BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    6 FOOT DISPOSABLE EXTENSION CABLE WITH SAFE CONNECT / SCREW-DOWN

    MDR report key: 17595087 · Received August 22, 2023

    Report

    Report Number
    17595087
    Event Type
    Malfunction
    Date Received
    August 22, 2023
    Date of Event
    May 8, 2024
    Report Date
    August 15, 2023
    Manufacturer
    REMINGTON MEDICAL, INC.
    Product Code
    DSA
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    LA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    "CABLE PRONGS FAULTY." MANUFACTURER RESPONSE FOR PACING CABLE, REMINGTON (PER SITE REPORTER). THEY SENT US REPLACEMENT PRODUCT AND WILL INVESTIGATE WHEN THEY RECEIVE THE FAULTY ONE BACK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    249289 6 FOOT DISPOSABLE EXTENSION CABLE WITH SAFE CONNECT / SCREW-DOWN CABLE, TRANSDUCER AND ELECTRODE, PATIENT, (INCLUDING CONNECTOR) DSA REMINGTON MEDICAL, INC. FL-601-97 2230016

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown