BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARRIFLEX

    MDR report key: 506914 · Received October 17, 2003

    Report

    Report Number
    506914
    Event Type
    Other
    Date Received
    October 17, 2003
    Date of Event
    April 1, 2003
    Report Date
    August 1, 2003
    Manufacturer
    ARRI, INC
    Product Code
    IZJ
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARRIFLEX CINE CAMERA IZJ ARRI, INC ARRITECHNO 35 *

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other