FDA Adverse Event
Malfunction
Summary report: N
2050012-2011-04277
MDR report key: 2213551
·
Received August 16, 2011
Report
- Report Number
- 2050012-2011-04277
- Event Type
- Malfunction
- Date Received
- August 16, 2011
- Date of Event
- July 19, 2011
- Report Date
- July 24, 2011
- Manufacturer
- BECKMAN COULTER, INC.
- PMA / PMN Number
- K103842
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Female |