BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROMAX SYSTEM MOTOR

    MDR report key: 531532 · Received March 5, 2004

    Report

    Report Number
    1045834-2004-00200
    Event Type
    Malfunction
    Date Received
    March 5, 2004
    Date of Event
    February 9, 2004
    Report Date
    March 4, 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 THE MOTOR IS NON-OPERATIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICROMAX SYSTEM MOTOR MOTOR HBB THE ANSPACH EFFORT, INC. MICROMAX-PLUS 51209975

    Patients

    Seq Age Sex Outcome Treatment
    1 *