FDA Adverse Event
Malfunction
Summary report: N
OLYMPUS
MDR report key: 508617
·
Received December 29, 2003
Report
- Report Number
- 8010047-2003-10114
- Event Type
- Malfunction
- Date Received
- December 29, 2003
- Report Date
- December 3, 2003
- Manufacturer
- OLYMPUS OPTICAL CO. LTD
- Product Code
- FFZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AR, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OLYMPUS | ACTIVE CORD | FFZ | OLYMPUS OPTICAL CO. LTD | MH-969 | 34K |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |