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