BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1037905-2011-00317

    MDR report key: 2102291 · Received May 23, 2011

    Report

    Report Number
    1037905-2011-00317
    Event Type
    Malfunction
    Date Received
    May 23, 2011
    Date of Event
    April 18, 2011
    Report Date
    April 20, 2011
    PMA / PMN Number
    K944220
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AG
    Reporter Occupation
    UNKNOWN
    Health Professional
    Yes

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown