MalfunctionFAX
RUSCH
Received Jan 31, 2002
Report 2429473-2002-00020 · MDR key 375275
Device
Product problems
- Detachment Of Device Component
- Peeled/Delaminated
Patient
UNKNOWN
- No Consequences Or Impact To Patient
- Unknown (for use when the patient's condition is not known)
Narrative
Description of Event or Problem
THE CUSTOMER REPORTS THAT THE SPIRAL FILFORM WAS STRIPPED INSIDE.