FDA Adverse Event
Malfunction
Summary report: N
BLENDER
MDR report key: 513223
·
Received January 22, 2004
Report
- Report Number
- 2021710-2003-00569
- Event Type
- Malfunction
- Date Received
- January 22, 2004
- Date of Event
- November 20, 2003
- Report Date
- November 20, 2003
- Manufacturer
- BIRD PRODUCTS CORP.
- Product Code
- BZR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
BLENDER ALARM IS NOT ALARMING, A NEW ALARM IS GOING TO BE ORDERED FOR THIS BLENDER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BLENDER | MICROBLENDER | BZR | BIRD PRODUCTS CORP. | BLENDER | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |