BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 645951 · Received November 11, 2005

    Report

    Report Number
    1823260-2005-03530
    Event Type
    Injury
    Date Received
    November 11, 2005
    Date of Event
    October 11, 2005
    Report Date
    October 18, 2005
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    FFZ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE REPORTER STATED THAT SOMEONE WAS SHOCKED BY THE POWER CORD ABOUT ONE WEEK AGO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK A/C D/C POWER ADAPTER FOR GTS UNIT FFZ ROCHE DIAGNOSTICS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 *