FDA Adverse Event Malfunction Summary report: N

CORDELLA HEART FAILURE SYSTEM

MDR report key: 23479644 · Received November 5, 2025

Report

Report Number
3013900541-2023-00001
Event Type
Malfunction
Date Received
November 5, 2025
Date of Event
December 15, 2023
Report Date
December 19, 2023
Manufacturer
ENDOTRONIX, INC
Product Code
OEZ
UDI-DI
01234567891234
PMA / PMN Number
K123456
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

THIS IS A TEST SUBMISSION FOR ESUBMITTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2607258 CORDELLA HEART FAILURE SYSTEM BLOOD PRESSURE CUFF OEZ ENDOTRONIX, INC 01234567891234

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female Required Intervention| H