BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3007305485-2011-00005

    MDR report key: 1974704 · Received January 31, 2011

    Report

    Report Number
    3007305485-2011-00005
    Event Type
    Malfunction
    Date Received
    January 31, 2011
    Date of Event
    December 20, 2010
    Report Date
    January 17, 2011
    Manufacturer
    CONSOLIDATED MEDICAL EQUIPMENT COMPANY
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER
    Health Professional
    *

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown