BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 177498 · Received June 26, 1998

    Report

    Report Number
    177498
    Event Type
    Malfunction
    Date Received
    June 26, 1998
    Date of Event
    May 21, 1998
    Report Date
    June 2, 1998
    Manufacturer
    RICHARD ALLAN MEDICAL
    Product Code
    GAB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FREE NEEDLE BRAKE DURING USE. PT X RAY - NO FOREIGN BODY IDENTIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * FREE CURVED NEEDLE GAB RICHARD ALLAN MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR