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 |