FDA Adverse Event
Other
Summary report: N
NOT REPORTED
MDR report key: 251852
·
Received November 17, 1999
Report
- Report Number
- 1928508-1999-00003
- Event Type
- Other
- Date Received
- November 17, 1999
- Report Date
- November 17, 1999
- Manufacturer
- M-PACT
- Product Code
- LGH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
BURN BLISTER 1 1/2 X 2 1/4 INCHES ON BACK OF KNEE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NOT REPORTED | PLASTER SPLINTING | LGH | M-PACT | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO | Other | NYLON HOSE. |