FDA Adverse Event Malfunction Summary report: N

2214133-2012-00181

MDR report key: 2843286 · Received November 22, 2012

Report

Report Number
2214133-2012-00181
Event Type
Malfunction
Date Received
November 22, 2012
Report Date
February 29, 2012
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
NOT APPLICABLE
Health Professional
N

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown