FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 4143206
·
Received September 26, 2014
Report
- Report Number
- 4143206
- Event Type
- Malfunction
- Date Received
- September 26, 2014
- Date of Event
- September 19, 2014
- Report Date
- September 26, 2014
- Manufacturer
- AESCULAP INC.
- Product Code
- MDM
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- LA, US
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 601264 | * | INSTRUMENT, SURGICAL, MANUAL | MDM | AESCULAP INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR |