BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CODEMASTER XL+

    MDR report key: 3060112 · Received March 20, 2013

    Report

    Report Number
    1218950-2013-00989
    Event Type
    Malfunction
    Date Received
    March 20, 2013
    Report Date
    March 4, 2013
    Manufacturer
    AGILENTTECHNOLOGIES, INC
    Product Code
    LDD
    PMA / PMN Number
    K954957
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CUSTOMER REPORTED THAT THE POWER CABLE WAS NOT CHARGING THE BATTERY. THE DEVICE WAS EVALUATED LOCALLY AND THE REPORTED SYMPTOM WAS CONFIRMED. REPLACEMENT OF THE POWER CORD RESOLVE THE SYMPTOM. AFTER PASSING ALL TESTING, THE DEVICE WAS RETURNED TO USE. THIS WAS A FAILURE OF THE AC POWER CORD. NO FURTHER INVESTIGATION OR ACTION IS WARRANTED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE POWER CABLE WAS NOT CHARGING THE BATTERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    115108 CODEMASTER XL+ LDD,MKJ,DQA LDD AGILENTTECHNOLOGIES, INC M1722B

    Patients

    Seq Age Sex Outcome Treatment
    1