BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 224277 · Received May 18, 1999

    Report

    Report Number
    1928508-1999-00001
    Event Type
    Injury
    Date Received
    May 18, 1999
    Date of Event
    July 30, 1998
    Report Date
    April 26, 1999
    Manufacturer
    M-PACT
    Product Code
    LGF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PT BEING FITTED FOR A PLIABLE BACK BRACE WHEN SHE SUSTAINED SECOND- AND THIRD-DEGREE BURNS ON THE RIGHT SIDE OF HER BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK REPORTED AS PLASTER BANDAGE LGF M-PACT NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR Other BACK BRACE.