FDA Adverse Event Injury Summary report: N

3003496686-2011-16856

MDR report key: 2032574 · Received March 24, 2011

Report

Report Number
3003496686-2011-16856
Event Type
Injury
Date Received
March 24, 2011
Report Date
April 5, 2011
PMA / PMN Number
PO30050
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER
Health Professional
N

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other| H