BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NA

    MDR report key: 2171893 · Received February 28, 2007

    Report

    Report Number
    2171893
    Event Type
    Injury
    Date Received
    February 28, 2007
    Date of Event
    February 2, 2007
    Report Date
    February 27, 2007
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SUBJECT WANTED HIS PUMP REMOVED. THE PUMP WAS EXPLANTED WITHOUT INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NA NONE LKK

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Other