FDA Adverse Event Injury Summary report: N

ACCESSRAIL PLATFORM

MDR report key: 7619111 · Received June 19, 2018

Report

Report Number
MW5077944
Event Type
Injury
Date Received
June 19, 2018
Date of Event
June 13, 2018
Report Date
June 13, 2018
Manufacturer
MAQUET / GETINGE
Product Code
NQG
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

DEVICE BROKE IN THE PROCESS OF SURGEON ATTEMPTING TO PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
456266 ACCESSRAIL PLATFORM ACCESSRAIL PLATFORM NQG MAQUET / GETINGE DB-1000 25136710

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention