BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROSTATRON

    MDR report key: 503788 · Received December 9, 2003

    Report

    Report Number
    2133936-2003-00023
    Event Type
    Malfunction
    Date Received
    December 9, 2003
    Date of Event
    September 11, 2003
    Report Date
    September 23, 2003
    Manufacturer
    UROLOGIX, INC.
    Product Code
    MEQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROSTATRON HYPERTHERMIA MICROWAVE/RF SYSTEM MEQ UROLOGIX, INC. 410053-004 530365

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR