BEUDAMED
    FDA Adverse Event Injury Summary report: N

    2183613-1997-00004

    MDR report key: 136564 · Received March 10, 1997

    Report

    Report Number
    2183613-1997-00004
    Event Type
    Injury
    Date Received
    March 10, 1997
    Date of Event
    November 28, 1996
    PMA / PMN Number
    ASKU
    Removal / Correction Number
    ASKU
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other| R B BROWN MODEL 6051ST STRAIGHT TEMP LEAD