FDA Adverse Event
Malfunction
Summary report: N
8022269-2012-00002
MDR report key: 2484564
·
Received March 9, 2012
Report
- Report Number
- 8022269-2012-00002
- Event Type
- Malfunction
- Date Received
- March 9, 2012
- Report Date
- January 21, 2012
- Manufacturer
- JOHNSON & JOHNSON, INC.
- PMA / PMN Number
- K974629
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 21 YR | Female |