BEUDAMED
    FDA Adverse Event Other Summary report: N

    ORTHOPEDIC TABLE

    MDR report key: 602262 · Received May 2, 2005

    Report

    Report Number
    2921578-2005-00001
    Event Type
    Other
    Date Received
    May 2, 2005
    Date of Event
    January 1, 2005
    Report Date
    April 15, 2005
    Manufacturer
    ORTHOPEDIC SYSTEMS, INC.
    Product Code
    JEB
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORTHOPEDIC TABLE OPERATING ROOM TABLE JEB ORTHOPEDIC SYSTEMS, INC. 5855 *

    Patients

    Seq Age Sex Outcome Treatment
    1 94 YR Required Intervention