BEUDAMED
    FDA Adverse Event Other Summary report: N

    TJF-100

    MDR report key: 89503 · Received May 8, 1997

    Report

    Report Number
    8010047-1997-00012
    Event Type
    Other
    Date Received
    May 8, 1997
    Date of Event
    March 6, 1997
    Report Date
    May 8, 1997
    Manufacturer
    OLYMPUS OPTICAL CO. TD.
    Product Code
    FDT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    UNK

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TJF-100 TJF-100 DUODENOVIDIOSCOPE FDT OLYMPUS OPTICAL CO. TD. TJF-100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other