BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MICROMAX SYSTEM NOSEPIECE ATTACHMENTS

    MDR report key: 541028 · Received March 31, 2004

    Report

    Report Number
    1045834-2004-00278
    Event Type
    Malfunction
    Date Received
    March 31, 2004
    Date of Event
    February 27, 2004
    Report Date
    March 31, 2004
    Manufacturer
    THE ANSPACH EFFORT, INC.
    Product Code
    HSZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS
    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 MICROMAX SYSTEM NOSEPIECE ATTACHMENTS ATTACHMENT HSZ THE ANSPACH EFFORT, INC. MEDIUM 51358278

    Patients

    Seq Age Sex Outcome Treatment
    1 *