FDA Adverse Event Malfunction Summary report: N

ALPHA RELIEF

MDR report key: 3606759 · Received January 22, 2014

Report

Report Number
1000381138-2014-00002
Event Type
Malfunction
Date Received
January 22, 2014
Manufacturer
ARJOHUNTLEIGH, A BRANCH OF ARJO LTD MED AB
Product Code
FNM
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT PREVIOUS MEDWATCH REPORTS FOR THIS PRODUCT MAY HAVE BEEN SUBMITTED FOR THE MFG SITE ARJOHUNTLEIGH, A BRANCH OF ARJO LTD MED (B)(4). AS OF 2011, THAT NUMBER WAS DE-ACTIVATED DUE TO THE SITE NO LONGER SHIPPING PRODUCT TO THE USA. GOING FORWARD, COMPLAINTS RELATED TO THIS PRODUCT ARE TO BE HANDLED BY ARJOHUNTLEIGH, A BRANCH OF ARJO LIMITED MED (B)(4). ADD'L INFO WILL BE PROVIDED UPON CONCLUSION OF THE MFR'S INVESTIGATION.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
52948 ALPHA RELIEF FNM ARJOHUNTLEIGH, A BRANCH OF ARJO LTD MED AB

Patients

Seq Age Sex Outcome Treatment
1