BEUDAMED
    FDA Adverse Event Other Summary report: N

    STIMULONG KIT - TUOHY TIP NEEDLE

    MDR report key: 1351448 · Received November 29, 2006

    Report

    Report Number
    3004076349-2006-00001
    Event Type
    Other
    Date Received
    November 29, 2006
    Date of Event
    February 8, 2006
    Report Date
    February 15, 2006
    Manufacturer
    PAJUNK GMBH
    Product Code
    MIA
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MA, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STIMULONG KIT - TUOHY TIP NEEDLE STIMULONG KIT MIA PAJUNK GMBH 531151-32A 601

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other