BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 2250849 · Received September 2, 2011

    Report

    Report Number
    2250849
    Date Received
    September 2, 2011
    Date of Event
    January 11, 2011
    Report Date
    September 2, 2011
    Manufacturer
    *
    Product Code
    HRX
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ARTHROSCOPY PUMP FAILED DURING THE PROCEDURE.======================MANUFACTURER RESPONSE FOR ARTHROSCOPY PUMP, (BRAND NOT PROVIDED) (PER SITE REPORTER)======================DEVICE RETURNED AND REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * ARTHROSCOPY PUMP HRX * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *