BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGLED MICRONOSE ATTACHMENT

    MDR report key: 526602 · Received February 20, 2004

    Report

    Report Number
    1045834-2004-00178
    Event Type
    Malfunction
    Date Received
    February 20, 2004
    Date of Event
    January 26, 2004
    Report Date
    February 19, 2004
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HSZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED THE ATTACHMENT HAS A CUTTER STUCK INSIDE IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGLED MICRONOSE ATTACHMENT ATTACHMENT HSZ THE ANSPACH EFFORT, INC. MDA *

    Patients

    Seq Age Sex Outcome Treatment
    1 *