BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDI-LIFT

    MDR report key: 3952143 · Received June 19, 2014

    Report

    Report Number
    9681684-2014-00042
    Event Type
    Malfunction
    Date Received
    June 19, 2014
    Manufacturer
    ARJOHUNTLEIGH MAGOG INC.
    Product Code
    FSA
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). ADDITIONAL INFO WILL BE PROVIDED UPON CONCLUSION OF THE MANUFACTURER'S INVESTIGATION.

    Description of Event or Problem · 1

    (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    360835 MEDI-LIFT FSA ARJOHUNTLEIGH MAGOG INC.

    Patients

    Seq Age Sex Outcome Treatment
    1