BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MIDAS REX I MO

    MDR report key: 506377 · Received December 19, 2003

    Report

    Report Number
    1625507-2003-00157
    Event Type
    Malfunction
    Date Received
    December 19, 2003
    Report Date
    November 19, 2003
    Manufacturer
    MEDTRONIC MIDAS REX
    Product Code
    HBB
    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 MIDAS REX I MO PNEUMATIC SURGICAL DRILL, MIDAS HBB MEDTRONIC MIDAS REX NA *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention