BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 200769 · Received November 12, 1998

    Report

    Report Number
    MW1015121
    Event Type
    Malfunction
    Date Received
    November 12, 1998
    Report Date
    November 9, 1998
    Manufacturer
    ADDTO INC.
    Product Code
    EYI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PACKAGE CONTAINED A STRAND OF HUMAN HAIR. ITEM IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CATHETER ADAPTER EYI ADDTO INC. * 083

    Patients

    Seq Age Sex Outcome Treatment
    1 *