BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TARGIS SYSTEM

    MDR report key: 507319 · Received December 29, 2003

    Report

    Report Number
    2133936-2003-00025
    Event Type
    Malfunction
    Date Received
    December 29, 2003
    Date of Event
    December 3, 2003
    Report Date
    December 29, 2003
    Manufacturer
    UROLOGIX, INC.
    Product Code
    MEQ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    UNKNOWN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TARGIS SYSTEM HYPERTHERMIA MICROWAVE/RF SYSTEM MEQ UROLOGIX, INC. 410055-001 KM092203

    Patients

    Seq Age Sex Outcome Treatment
    1 *