FDA Adverse Event
Malfunction
Summary report: N
8022269-2012-00003
MDR report key: 2484565
·
Received March 9, 2012
Report
- Report Number
- 8022269-2012-00003
- Event Type
- Malfunction
- Date Received
- March 9, 2012
- Report Date
- January 24, 2012
- Manufacturer
- MONTREAL SAN PRO
- Removal / Correction Number
- NI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female |