FDA Adverse Event Malfunction Summary report: N

831385

MDR report key: 9960031 · Received April 14, 2020

Report

Report Number
3005798905-2020-02924
Event Type
Malfunction
Date Received
April 14, 2020
Date of Event
February 24, 2020
Report Date
March 30, 2020
Manufacturer
MHC MEDICAL PRODUCTS, LLC
Product Code
FMF
PMA / PMN Number
K102178
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

THE STOPPER - CUSTOMER IS REFERRING TO THE GASKET - APPEARS TO BE THICKER AT TIMES AND IS ALSO SOMETIMES CROOKED. THIS MAKES IT DIFFICULT FOR CUSTOMER TO READ MEASUREMENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
421670 831385 EASYTOUCH FMF MHC MEDICAL PRODUCTS, LLC 50195

Patients

Seq Age Sex Outcome Treatment
1