inforMED
MalfunctionIOY

SUPPORT ARM 177

Received Sep 5, 2014

Report 8010042-2014-00396 · MDR key 4098773

Device

Generic name

None

Catalog number

6481720

Product problems

  • Mechanical Problem

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE SUPPORT ARM BROKE. THERE WAS NO PT INVOLVEMENT. (B)(4).

Additional Manufacturer Narrative

THE BROKEN SUPPORT ARM WAS NOT RETURNED FOR INVESTIGATION. INFO WAS RECEIVED THAT THE CUSTOMER SCRAPPED THE BROKEN SUPPORT ARM AFTER THE REPLACEMENT. NO FURTHER INFO REGARDING THE EVENT HAS BEEN RECEIVED. WITH AVAILABLE INFO, THE CAUSE TO THE EVENT CANNOT BE DETERMINED. (B)(4).