BEUDAMED
    FDA Adverse Event Injury Summary report: N

    50 PACK, SIZE 4, 1504

    MDR report key: 115341 · Received August 21, 1997

    Report

    Report Number
    1224675-1997-00044
    Event Type
    Injury
    Date Received
    August 21, 1997
    Date of Event
    August 7, 1997
    Report Date
    August 8, 1997
    Manufacturer
    UROMED CORP.
    Product Code
    MNG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PT REPORT DEVICE MIGRATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 50 PACK, SIZE 4, 1504 RELIANCE MNG UROMED CORP. SIZE 4 0000000019

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention