BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AESOP HERMES-READY SYSTEM

    MDR report key: 562829 · Received June 27, 2003

    Report

    Report Number
    2029233-2003-00001
    Event Type
    Malfunction
    Date Received
    June 27, 2003
    Date of Event
    May 30, 2003
    Report Date
    June 25, 2003
    Manufacturer
    COMPUTER MOTION, INC.
    Product Code
    GDC
    Removal / Correction Number
    NONE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AESOP HERMES-READY SYSTEM AUTOMATED ENDOSCOPIC POSITIONING SYSTEM GDC COMPUTER MOTION, INC. 600-0095 15789-9

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR