FDA Adverse Event
Injury
Summary report: N
2649622-2003-00087
MDR report key: 2131502
·
Received June 16, 2011
Report
- Report Number
- 2649622-2003-00087
- Event Type
- Injury
- Date Received
- June 16, 2011
- Date of Event
- May 21, 2001
- Report Date
- February 24, 2024
- Manufacturer
- MPRI
- PMA / PMN Number
- P920015
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Female | Life Threatening| R| H | "SEE H11...." |