FDA Adverse Event
Other
Summary report: N
2242551-1999-00023
MDR report key: 257207
·
Received December 17, 1999
Report
- Report Number
- 2242551-1999-00023
- Event Type
- Other
- Date Received
- December 17, 1999
- Date of Event
- November 17, 1999
- Report Date
- December 17, 1999
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ACCOUNT REPORTED THAT THE PARALLEL WYE IS CRACKED.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |