FDA Adverse Event
Malfunction
Summary report: N
MIDMARK
MDR report key: 22830877
·
Received August 18, 2025
Report
- Report Number
- 1523530-2025-00007
- Event Type
- Malfunction
- Date Received
- August 18, 2025
- Date of Event
- August 8, 2025
- Report Date
- August 18, 2025
- Manufacturer
- MIDMARK CORPORATION
- Product Code
- EAZ
- UDI-DI
- 00841709106897
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
NO FURTHER INFORMATION HAS BEEN PROVIDED TO MIDMARK CORPORATION REGARDING THIS INSTANCE AT THE TIME OF THIS REPORT. SINCE THE BUILD DATE OF THIS DEVICE, DESIGN CORRECTION(S) HAVE BEEN PUT INTO PLACE TO PREVENT THE FAILURE. IF FURTHER INFORMATION IS PROVIDED, A FOLLOW UP REPORT WILL BE MADE IF NECESSARY.
Description of Event or Problem · 0
IT WAS REPORTED TO MIDMARK CORPORATION THAT ON (B)(6) 2025, A LIGHT FLEX ARM ASSEMBLY FELL FROM ITS TROLLEY. NO INJURY HAS BEEN REPORTED. DUE TO PREVIOUS REPORTING OF LIKE INSTANCES, MIDMARK CORPORATION COMPLIED TO REPORT THIS INSTANCE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1543122 | MIDMARK | LIGHT FLEX ARM ASSEMBLY | EAZ | MIDMARK CORPORATION | 029-4857-00 | 00841709106897 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |