BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BLACKMAX SYSTEM MOTOR

    MDR report key: 498674 · Received November 24, 2003

    Report

    Report Number
    1045834-2003-00505
    Event Type
    Malfunction
    Date Received
    November 24, 2003
    Date of Event
    November 4, 2003
    Report Date
    November 24, 2003
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HBB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MOTOR DOES NTO LOCK CUTTERS IN PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BLACKMAX SYSTEM MOTOR MOTOR HBB THE ANSPACH EFFORT, INC. BLACKMAX-N 97279C

    Patients

    Seq Age Sex Outcome Treatment
    1 *