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 |