BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OAS 450 MHZ SERVER

    MDR report key: 508145 · Received November 24, 2003

    Report

    Report Number
    2250051-2003-01291
    Event Type
    Malfunction
    Date Received
    November 24, 2003
    Date of Event
    October 31, 2003
    Report Date
    November 4, 2003
    Manufacturer
    ORTHO-CLINICAL DIAGNOSTICS
    Product Code
    JQP
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OAS 450 MHZ SERVER OAS SOFTWARE PC JQP ORTHO-CLINICAL DIAGNOSTICS 6901169 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Other