BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 4973094 · Received June 30, 2015

    Report

    Report Number
    4973094
    Event Type
    Malfunction
    Date Received
    June 30, 2015
    Date of Event
    May 5, 2015
    Report Date
    June 30, 2015
    Manufacturer
    OHMEDA MEDICAL
    Product Code
    HJM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    420564 * TRANSILLUMINATOR, AC-POWERED HJM OHMEDA MEDICAL * GDPUM0202

    Patients

    Seq Age Sex Outcome Treatment
    1 0 *