BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RITTER

    MDR report key: 2526956 · Received March 30, 2012

    Report

    Report Number
    1523530-2012-00012
    Event Type
    Malfunction
    Date Received
    March 30, 2012
    Date of Event
    March 2, 2012
    Report Date
    March 30, 2012
    Manufacturer
    MIDMARK CORP.
    Product Code
    FQO
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS EVALUATED BY AN INDEPENDENT SERVICE COMPANY. THE MALFUNCTION COULD NOT BE DUPLICATED. THE PRODUCT IS BEING RETURN FOR FURTHER EVALUATION.

    Description of Event or Problem · 1

    FACILITY CLAIMS THE TABLE LOWERED ON ITS OWN. NO INJURIES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RITTER EXAMINATION TABLE FQO MIDMARK CORP. 222-015

    Patients

    Seq Age Sex Outcome Treatment
    1