BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HIGH TRANSMISSION AUTOCLAVABLE LIGHT CARRIER

    MDR report key: 83020 · Received April 14, 1997

    Report

    Report Number
    1519132-1997-00022
    Event Type
    Malfunction
    Date Received
    April 14, 1997
    Date of Event
    March 4, 1997
    Manufacturer
    CIRCON ACMI
    Product Code
    EQH
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIGH TRANSMISSION AUTOCLAVABLE LIGHT CARRIER LIGHT CARRIER EQH CIRCON ACMI G96

    Patients

    Seq Age Sex Outcome Treatment
    1 * SNAP-ON CONNECTOR FOR LIGHT CARRIER,| CIRCON ACMI LAP 10-OW SERIES LAPAROSCOPE SYSTEM,| CENON HIGH INTENSITY LIGHT SOURCE.