BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1722028-2013-01308

    MDR report key: 3250833 · Received July 29, 2013

    Report

    Report Number
    1722028-2013-01308
    Event Type
    Malfunction
    Date Received
    July 29, 2013
    Date of Event
    June 11, 2013
    Report Date
    June 21, 2013
    PMA / PMN Number
    BK970005
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    HEALTH PROFESSIONAL
    Health Professional
    Yes

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Other