BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 552647 · Received September 30, 2003

    Report

    Report Number
    552647
    Event Type
    Malfunction
    Date Received
    September 30, 2003
    Date of Event
    July 8, 2003
    Report Date
    September 30, 2003
    Manufacturer
    UNK
    Product Code
    EQN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * LARYNGOSCOPE EQN UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR