BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 3031396 · Received February 10, 2013

    Report

    Report Number
    3031396
    Event Type
    Malfunction
    Date Received
    February 10, 2013
    Date of Event
    November 30, 2012
    Report Date
    December 27, 2012
    Manufacturer
    UNK
    Product Code
    FWM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    58044 * PROSTHESIS, BREAST FWM UNK N/A N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR