BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ENDOPATH PROBE PLUS II

    MDR report key: 533487 · Received June 22, 2004

    Report

    Report Number
    MW1032426
    Event Type
    Malfunction
    Date Received
    June 22, 2004
    Date of Event
    April 22, 2004
    Report Date
    June 22, 2004
    Manufacturer
    VANGUARD MEDICAL CONCEPTS, INC.
    Product Code
    KQT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SUCTION/IRRIGATOR WILL NOT SUCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENDOPATH PROBE PLUS II PISTOL GRIP HANDLE KQT VANGUARD MEDICAL CONCEPTS, INC. * 464880

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other