BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BLENDER

    MDR report key: 513273 · Received January 22, 2004

    Report

    Report Number
    2021710-2003-00273
    Event Type
    Malfunction
    Date Received
    January 22, 2004
    Date of Event
    June 13, 2003
    Report Date
    June 13, 2003
    Manufacturer
    BIRD PRODUCTS CORP.
    Product Code
    BZR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    UNIT WILL NOT ALARM. NO FURTHER DETAILS GIVEN.

    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 UNKNOWN