BEUDAMED
    FDA Adverse Event Other Summary report: N

    MITY VAC

    MDR report key: 1221862 · Received July 7, 2008

    Report

    Report Number
    1216677-2008-00021
    Event Type
    Other
    Date Received
    July 7, 2008
    Date of Event
    January 8, 2008
    Report Date
    July 7, 2008
    Manufacturer
    COOPERSURGICAL, INC.
    Product Code
    HDB
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 0

    LOT INFO IS NOT AVAILABLE. THE VACUUM SOURCE HAS NOT BEEN IDENTIFIED. SUPPLEMENTAL INFO WILL BE PROVIDED SHOULD ANY FURTHER INVESTIGATION BE POSSIBLE. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    0 MITY VAC EXTRACTOR CUP HDB COOPERSURGICAL, INC. 10007LP *

    Patients

    Seq Age Sex Outcome Treatment
    0 Other