BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HAHC TEST

    MDR report key: 469772 · Received June 16, 2003

    Report

    Report Number
    MW1028866
    Event Type
    Malfunction
    Date Received
    June 16, 2003
    Date of Event
    June 16, 2003
    Report Date
    June 16, 2003
    Manufacturer
    *
    Product Code
    MVZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT PAID FOR A TEST TO BE CONDUCTED AND THEY DID NOT DO THE TEST, NOR SUPPLY REPLACEMENT KIT FOR TEST NOR REFUND MONEY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HAHC TEST * MVZ * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other