FDA Adverse Event Malfunction Summary report: N

OPERA

MDR report key: 3110527 · Received April 8, 2013

Report

Report Number
9681684-2013-00030
Event Type
Malfunction
Date Received
April 8, 2013
Date of Event
March 16, 2013
Report Date
March 22, 2013
Manufacturer
ARJO MED AB LTD
Product Code
FSA
Product Problem
Yes
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY THE MANUFACTURER ARJOHUNTLEIGH (B)(4) ON BEHALF OF THE IMPORTER(B)(4). PLEASE NOTE THAT THIS PRODUCT IS NO LONGER MANUFACTURED AND PREVIOUS MEDWATCH REPORTS FOR THIS PRODUCT MAY HAVE BEEN SUBMITTED FOR THE MANUFACTURING SITE (B)(4) AS OF (B)(4) 2010, THAT NUMBER WAS DE-ACTIVATED DUE TO THE SITE NO LONGER BEING A MANUFACTURER. GOING FORWARD, COMPLAINTS RELATED TO THIS PRODUCT ARE TO BE HANDLED BY ARJOHUNTLEIGH (B)(4). THE DEVICE WAS INSPECTED ON-SITE BY A REPRESENTATIVE OF THE MANUFACTURER'S SALES AND SERVICE UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MANUFACTURER. ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
144556 OPERA MANUFACTURED FLOOR PASSIVE LIFT FSA ARJO MED AB LTD

Patients

Seq Age Sex Outcome Treatment
1