FDA Adverse Event
Malfunction
Summary report: N
3005075853-2010-05291
MDR report key: 1881680
·
Received October 25, 2010
Report
- Report Number
- 3005075853-2010-05291
- Event Type
- Malfunction
- Date Received
- October 25, 2010
- Date of Event
- August 16, 2010
- Report Date
- May 21, 2024
- Manufacturer
- ETHICON ENDO-SURGERY, LLC.
- PMA / PMN Number
- K864102
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |