BEUDAMED
    FDA Adverse Event Injury Summary report: N

    L-ANEURYSM-CLIP APPLIER

    MDR report key: 2849320 · Received November 9, 2012

    Report

    Report Number
    8010890-2012-00001
    Event Type
    Injury
    Date Received
    November 9, 2012
    Date of Event
    June 26, 2012
    Report Date
    October 29, 2012
    Manufacturer
    PETER LAZIC GMBH
    Product Code
    HCH
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 L-ANEURYSM-CLIP APPLIER ANEURYSM CLIP APPLIER HCH PETER LAZIC GMBH 45.441 J137717

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| L