BEUDAMED
    FDA Adverse Event Other Summary report: N

    2925153-2000-00007

    MDR report key: 284777 · Received June 24, 2000

    Report

    Report Number
    2925153-2000-00007
    Event Type
    Other
    Date Received
    June 24, 2000
    Date of Event
    April 12, 2000
    Report Date
    June 24, 2000
    Product Code
    DQO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DQO 360-45 1107

    Patients

    Seq Age Sex Outcome Treatment
    1 3 YR