BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROMAX SYSTEM MOTOR

    MDR report key: 517666 · Received February 2, 2004

    Report

    Report Number
    1045834-2004-00102
    Event Type
    Malfunction
    Date Received
    February 2, 2004
    Date of Event
    December 20, 2003
    Report Date
    January 30, 2004
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HBB
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED MOTOR DOES NOT ROTATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROMAX SYSTEM MOTOR MOTOR HBB THE ANSPACH EFFORT, INC. MICROMAX-PLUS 51252543

    Patients

    Seq Age Sex Outcome Treatment
    1 *