FDA Adverse Event Malfunction Summary report: N

CALYPSO

MDR report key: 3162329 · Received May 10, 2013

Report

Report Number
9611530-2013-00045
Event Type
Malfunction
Date Received
May 10, 2013
Manufacturer
ARJO HOSPITAL EQUIPMENT AB
Product Code
FSA
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED UNDER EXEMPTION (B)(4) BY ARJOHUNTLEIGH (B)(4), ON BEHALF OF THE IMPORTER (B)(4). THE DEVICE WAS INSPECTED ON-SITE BY A REP OF THE MFR'S SALES AND SVC UNIT SUBSIDIARY DIVISION, NOT A DIRECT EMPLOYEE OF THE MFR. ADDITIONAL INFO WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

PLEASE REFER TO IMPORTER REPORT # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
206279 CALYPSO HYGIENE AND POOL LIFTERS FSA ARJO HOSPITAL EQUIPMENT AB

Patients

Seq Age Sex Outcome Treatment
1