BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 1000066 · Received October 25, 2004

    Report

    Report Number
    2950409-2004-00016
    Event Type
    Malfunction
    Date Received
    October 25, 2004
    Manufacturer
    TOSOH BIOSCIENCE, INC.
    Product Code
    GKL
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Additional Manufacturer Narrative · 1

    THIS IS AN INITIAL REPORT. THE FINAL REPORT WILL BE SUBMITTED AT THE CONCLUSION OF THE INVESTIGATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * GKL TOSOH BIOSCIENCE, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *