BEUDAMED
    FDA Adverse Event Other Summary report: N

    MED-TEC

    MDR report key: 383362 · Received March 13, 2002

    Report

    Report Number
    1932738-2002-00001
    Event Type
    Other
    Date Received
    March 13, 2002
    Date of Event
    February 7, 2002
    Report Date
    March 13, 2002
    Manufacturer
    MED-TEC, INC.
    Product Code
    LHN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    BOARD BROKE WITH PATIENT ON BREASTBOARD. NO ONE WAS HURT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MED-TEC BREAST BOARD LHN MED-TEC, INC. MT-250-R-D *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other