FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 141725
·
Received December 31, 1997
Report
- Report Number
- 2647580-1997-01733
- Event Type
- Malfunction
- Date Received
- December 31, 1997
- Date of Event
- October 24, 1997
- Manufacturer
- *
- Product Code
- GAG
- Report Source
- Manufacturer report
Narratives
Additional Manufacturer Narrative · 1
2/10/1998-SUPPLEMENTAL REPORT #1 SUBMITTED TO FDA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | * | GAG | * | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |