FDA Adverse Event
Injury
Summary report: N
2953161-2010-00133
MDR report key: 1753482
·
Received July 8, 2010
Report
- Report Number
- 2953161-2010-00133
- Event Type
- Injury
- Date Received
- July 8, 2010
- Date of Event
- July 1, 2010
- Report Date
- August 11, 2010
- PMA / PMN Number
- P020004
- Report Source
- Manufacturer report
- Reporter Location
- ME, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Male | Hospitalization| R |