BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADULT BULLARD LARYNGOSCOPE

    MDR report key: 534858 · Received March 8, 2004

    Report

    Report Number
    1519132-2004-00018
    Event Type
    Malfunction
    Date Received
    March 8, 2004
    Date of Event
    January 1, 2004
    Report Date
    March 8, 2004
    Manufacturer
    ACMII NORWALK
    Product Code
    EQN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VT, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ADULT BULLARD LARYNGOSCOPE * EQN ACMII NORWALK LARS-A UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN