BEUDAMED
    FDA Adverse Event Death Summary report: N

    SURGILENE, 4-0

    MDR report key: 18132 · Received December 1, 1994

    Report

    Report Number
    MW1004257
    Event Type
    Death
    Date Received
    December 1, 1994
    Date of Event
    November 8, 1994
    Report Date
    November 22, 1994
    Manufacturer
    DAVIS & GECK, INC.
    Product Code
    GAW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

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    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGILENE, 4-0 SUTURE MATERIAL GAW DAVIS & GECK, INC. UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Death| R