FDA Adverse Event
Injury
Summary report: N
9615050-2011-00501
MDR report key: 2161866
·
Received July 8, 2011
Report
- Report Number
- 9615050-2011-00501
- Event Type
- Injury
- Date Received
- July 8, 2011
- Date of Event
- January 18, 2011
- Report Date
- May 13, 2011
- Manufacturer
- HOSPIRA COSTA RICA LTD.
- PMA / PMN Number
- K830014
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |