FDA Adverse Event Death Summary report: N

2031527-2012-00133

MDR report key: 2859307 · Received December 5, 2012

Report

Report Number
2031527-2012-00133
Event Type
Death
Date Received
December 5, 2012
Date of Event
August 14, 2012
Report Date
August 14, 2012
Manufacturer
ENDOLOGIX, INC.
PMA / PMN Number
P040002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Patients

Seq Age Sex Outcome Treatment
1 NA Female Death