BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HMP 2112

    MDR report key: 24865 · Received February 14, 1995

    Report

    Report Number
    1056436-1994-09003
    Event Type
    Malfunction
    Date Received
    February 14, 1995
    Date of Event
    August 22, 1994
    Report Date
    August 24, 1994
    Manufacturer
    HDC
    Product Code
    MDX
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NJ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED HMP 2112 ON 6/27/94. THE LOCKING MECHANISM CAME OFF AND DR. CUASAY HAD TO REPLACE THE LOCING MECHANISM. THE PLACED THE LOCING MECHANISM ON 8/22/94.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HMP 2112 Implant IMPLANTABLE DRUG PORT MDX HDC 2112

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR