BEUDAMED
    FDA Adverse Event Injury Summary report: N

    2031527-2012-00112

    MDR report key: 2874091 · Received December 14, 2012

    Report

    Report Number
    2031527-2012-00112
    Event Type
    Injury
    Date Received
    December 14, 2012
    Date of Event
    July 30, 2012
    Report Date
    July 30, 2012
    Manufacturer
    ENDOLOGIX, INC.
    PMA / PMN Number
    P040002
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Male Required Intervention