FDA Adverse Event Injury Summary report: N

2532140-2008-00053

MDR report key: 1130703 · Received August 6, 2008

Report

Report Number
2532140-2008-00053
Event Type
Injury
Date Received
August 6, 2008
Product Code
GDW
PMA / PMN Number
K032701
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

CALIFORNIA PACIFIC MED CTR DID NOT RETURN THE DEVICE FOR EVAL AS OF YET. THE HOSP ALSO FILED A MEDWATCH REPORT FOR THIS EVENT. COMPLAINT ANALYSIS AND INVESTIGATION REPORT IS ATTACHED FOR THE BATCH RECORD REVIEW ONLY. AN UPDATED REPORT WILL BE PROVIDED WHEN DEVICE IS RETURNED AND EVALUATED. REVIEWED PRODUCT RELEASE AND FOUND NO DISCREPANCIES. THE PRODUCT INVOLVED WITH THIS ICR IS BEING HELD AT THE HOSP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GDW

Patients

Seq Age Sex Outcome Treatment
1