BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACCESSORY, OPERATING ROOM

    MDR report key: 3121691 · Received April 25, 2013

    Report

    Report Number
    9611959-2013-00001
    Event Type
    Other
    Date Received
    April 25, 2013
    Date of Event
    February 12, 2013
    Report Date
    February 19, 2013
    Manufacturer
    AMD RITMED
    Product Code
    KKX
    PMA / PMN Number
    K001858
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    180432 ACCESSORY, OPERATING ROOM KKX AMD RITMED

    Patients

    Seq Age Sex Outcome Treatment
    1 Other