FDA Adverse Event Injury Summary report: N

2183613-1999-00011

MDR report key: 265539 · Received September 8, 1999

Report

Report Number
2183613-1999-00011
Event Type
Injury
Date Received
September 8, 1999
Date of Event
May 30, 1999
Report Date
June 4, 1999
Removal / Correction Number
NI
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

I

Patients

Seq Age Sex Outcome Treatment
1 77 YR Life Threatening