BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CUSA EXCEL CONSOLE

    MDR report key: 2911098 · Received April 2, 2007

    Report

    Report Number
    3003418325-2007-0003
    Event Type
    Malfunction
    Date Received
    April 2, 2007
    Report Date
    March 30, 2007
    Manufacturer
    VALLEYLAB
    Product Code
    ---
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CUSA EXCEL CONSOLE NA --- VALLEYLAB * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *