FDA Adverse Event Malfunction Summary report: N

ANGLED MICRONOSE ATTACHMENT

MDR report key: 508324 · Received January 8, 2004

Report

Report Number
1045834-2004-00008
Event Type
Malfunction
Date Received
January 8, 2004
Date of Event
December 9, 2003
Report Date
January 6, 2004
Manufacturer
THE ANSPACH EFFORT, INC.
Product Code
HBB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER CLAIMED THE ATTACHMENT WILL NOT ACCEPT CUTTERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ANGLED MICRONOSE ATTACHMENT ATTACHMENT HBB THE ANSPACH EFFORT, INC. B-QD8 A66458P

Patients

Seq Age Sex Outcome Treatment
1 *