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