BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TUNA

    MDR report key: 506629 · Received December 29, 2003

    Report

    Report Number
    2950887-2003-01200
    Event Type
    Malfunction
    Date Received
    December 29, 2003
    Date of Event
    December 3, 2003
    Report Date
    December 3, 2003
    Manufacturer
    MEDTRONIC GASTROENTEROLOGY/UROLOGY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TUNA EEA GEI MEDTRONIC GASTROENTEROLOGY/UROLOGY 1900TU UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other