BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HI SUMMIT

    MDR report key: 2900758 · Received January 3, 2013

    Report

    Report Number
    2900758
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Date of Event
    December 12, 2012
    Report Date
    January 3, 2013
    Manufacturer
    HOWARD MEDICAL
    Product Code
    NXB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    SMOKE (NO FLAMES) CAME FROM EQUIPMENT. PATIENTS WERE EVACUATED FROM THE AREA AND THERE WAS NO HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2179 HI SUMMIT CART NXB HOWARD MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1