FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 506511
·
Received December 31, 2003
Report
- Report Number
- MW1030696
- Event Type
- Malfunction
- Date Received
- December 31, 2003
- Date of Event
- April 24, 2003
- Report Date
- November 3, 2003
- Manufacturer
- LEICA MICROSYSTEMS, INC.
- Product Code
- EPT
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- IN, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | LEICA MICROSCOPE | EPT | LEICA MICROSYSTEMS, INC. | 500 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR |