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