FDA Adverse Event
Malfunction
Summary report: N
USA ELITE/USA SERIES DISPOSABLE ACTIVE CORD
MDR report key: 275027
·
Received April 18, 2000
Report
- Report Number
- 1519132-2000-00019
- Event Type
- Malfunction
- Date Received
- April 18, 2000
- Date of Event
- March 10, 2000
- Report Date
- April 18, 2000
- Manufacturer
- CIRCON ACMI
- Product Code
- FFZ
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | USA ELITE/USA SERIES DISPOSABLE ACTIVE CORD | ACTIVE CORD | FFZ | CIRCON ACMI | GDAC | CC (3/99) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO |