FDA Adverse Event Other Summary report: N

CERETOM (TRANSFER SCAN BOARD)

MDR report key: 1240847 · Received November 12, 2008

Report

Report Number
3004938766-2008-00001
Event Type
Other
Date Received
November 12, 2008
Date of Event
October 13, 2008
Report Date
November 10, 2008
Manufacturer
NEUROLOGICA CORPORATION
Product Code
JAK
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CERETOM (TRANSFER SCAN BOARD) TRANSFER SCAN BOARD JAK NEUROLOGICA CORPORATION 1-NL3000 NA

Patients

Seq Age Sex Outcome Treatment
1 Female