BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPPORT ARM 176

    MDR report key: 3142281 · Received May 21, 2013

    Report

    Report Number
    8010042-2013-00079
    Event Type
    Malfunction
    Date Received
    May 21, 2013
    Manufacturer
    MAQUET CRITICAL CARE AB
    Product Code
    IOY
    PMA / PMN Number
    NA
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    THE BROKEN SUPPORT ARM HAS BEEN REQUESTED BACK FOR INVESTIGATION. A SUPPLEMENTAL MEDWATCH WILL BE PROVIDED AFTER INVESTIGATION. (B)(4).

    Description of Event or Problem · 1

    (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    225385 SUPPORT ARM 176 IOY MAQUET CRITICAL CARE AB

    Patients

    Seq Age Sex Outcome Treatment
    1