BEUDAMED
    FDA Adverse Event Summary report: N

    SIDE FIBER

    MDR report key: 1191623 · Received July 23, 2008

    Report

    Report Number
    1222625-2008-00004
    Date Received
    July 23, 2008
    Date of Event
    July 8, 2008
    Report Date
    July 21, 2008
    Manufacturer
    BIOLITEC, INC.
    Product Code
    GEX
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SIDE FIBER FIBER OPTIC LASER DELIVERY SYSTEM GEX BIOLITEC, INC. * A08-0054A

    Patients

    Seq Age Sex Outcome Treatment
    1 *