BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STINGRAY DSR. SOFTWARE VERSION 1,3.2.3.

    MDR report key: 949095 · Received August 31, 2004

    Report

    Report Number
    1318879-2004-00001
    Event Type
    Malfunction
    Date Received
    August 31, 2004
    Date of Event
    August 12, 2004
    Report Date
    August 24, 2004
    Manufacturer
    INFIMED, INC.
    Product Code
    LLZ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STINGRAY DSR. SOFTWARE VERSION 1,3.2.3. DIGITAL RADIOGRAPHIC IMAGING LSYSTEM LLZ INFIMED, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other