FDA Adverse Event Malfunction Summary report: N

SERVO-I

MDR report key: 3150004 · Received June 3, 2013

Report

Report Number
8010042-2013-00086
Event Type
Malfunction
Date Received
June 3, 2013
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
CBK
PMA / PMN Number
K062793
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MORE INFORMATION SURROUNDING THE EVENT HAS BEEN SOUGHT. A SUPPLEMENTAL MEDWATCH WILL BE PROVIDED WHEN INVESTIGATION IS FINISHED. REFERENCE EXEMPTION #: (B)(4).

Description of Event or Problem · 1

PLEASE REFER (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
243180 SERVO-I CBK MAQUET CRITICAL CARE AB

Patients

Seq Age Sex Outcome Treatment
1