BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANCHOR

    MDR report key: 2465614 · Received February 16, 2012

    Report

    Report Number
    MW5024306
    Event Type
    Malfunction
    Date Received
    February 16, 2012
    Date of Event
    September 2, 2011
    Report Date
    February 16, 2012
    Manufacturer
    ANCHOR PRODUCTS CO
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ANCHOR TISSUE RETRIEVAL SYSTEM DEFECTIVE OUT OF BOX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANCHOR ANCHOR TISSUE RETRIEVAL SYSTEM GCJ ANCHOR PRODUCTS CO TRS100SB2 S08N

    Patients

    Seq Age Sex Outcome Treatment
    1