BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROMAX SYSTEM NOSEPIECE ATTACHMENTS

    MDR report key: 508349 · Received January 8, 2004

    Report

    Report Number
    1045834-2004-00001
    Event Type
    Malfunction
    Date Received
    January 8, 2004
    Date of Event
    December 8, 2003
    Report Date
    January 5, 2004
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    ERL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED ATTACHMENT DOES NOT ACCEPT CUTTERS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROMAX SYSTEM NOSEPIECE ATTACHMENTS ATTACHMENT ERL THE ANSPACH EFFORT, INC. SHORT *

    Patients

    Seq Age Sex Outcome Treatment
    1 *