BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ANGLED MICRONOSE ATTACHMENT

    MDR report key: 532593 · Received March 10, 2004

    Report

    Report Number
    1045834-2004-00233
    Event Type
    Malfunction
    Date Received
    March 10, 2004
    Date of Event
    March 1, 2004
    Report Date
    March 10, 2004
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HSZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED ATTACHMENT WILL NOT ACCEPT CUTTERS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGLED MICRONOSE ATTACHMENT ATTACHMENT HSZ THE ANSPACH EFFORT, INC. B-QD11 51369073

    Patients

    Seq Age Sex Outcome Treatment
    1 *