FDA Adverse Event
Malfunction
Summary report: N
2027111-2013-00451
MDR report key: 3762397
·
Received April 21, 2014
Report
- Report Number
- 2027111-2013-00451
- Event Type
- Malfunction
- Date Received
- April 21, 2014
- Date of Event
- October 31, 2012
- Report Date
- October 22, 2013
- Manufacturer
- APPLIED MEDICAL RESOURCES CORP.
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |