BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1043572-1997-00014

    MDR report key: 100425 · Received June 19, 1997

    Report

    Report Number
    1043572-1997-00014
    Event Type
    Malfunction
    Date Received
    June 19, 1997
    Date of Event
    May 21, 1997
    Product Code
    FQO
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FQO 3080RL

    Patients

    Seq Age Sex Outcome Treatment
    1