FDA Adverse Event
Malfunction
Summary report: N
ACCESORIES FOR SPACE PUMPS
MDR report key: 3913125
·
Received June 25, 2014
Report
- Report Number
- 9610825-2014-00242
- Event Type
- Malfunction
- Date Received
- June 25, 2014
- Manufacturer
- B. BRAUN MELSUNGEN AG
- Product Code
- FRN
- PMA / PMN Number
- K083689
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Additional Manufacturer Narrative · 1
(B)(4). THE ACTUAL SAMPLE INVOLVED HAS NOT BEEN RECEIVED YET FOR EVALUATION AND THE INVESTIGATION IS ONGOING AT THIS TIME. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION RESULTS BECOME AVAILABLE.
Description of Event or Problem · 1
(B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 369700 | ACCESORIES FOR SPACE PUMPS | US POWER CORD INCL EXTENSION | FRN | B. BRAUN MELSUNGEN AG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |