BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FILIFORM

    MDR report key: 463625 · Received May 28, 2003

    Report

    Report Number
    2429473-2003-00054
    Event Type
    Malfunction
    Date Received
    May 28, 2003
    Report Date
    May 23, 2003
    Manufacturer
    RUSCH, INC.
    Product Code
    FAX
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CUSTOMER REPORTS FILIFORM IS TOO FLIMSY.

    Description of Event or Problem · 1

    CUSTOMER REPORTS FILIFORM IS TOO FLIMSY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FILIFORM UROLOGICAL FAX RUSCH, INC. NA 118428

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN