FDA Adverse Event
Malfunction
Summary report: N
OPERON B810
MDR report key: 506655
·
Received December 22, 2003
Report
- Report Number
- 1220685-2003-00005
- Event Type
- Malfunction
- Date Received
- December 22, 2003
- Date of Event
- October 28, 2003
- Report Date
- December 17, 2003
- Manufacturer
- BERCHTOLD CORP.
- Product Code
- FQO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OPERON B810 | SURGICAL TABLE | FQO | BERCHTOLD CORP. | B810 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO | Other |