BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN DUET SULU

    MDR report key: 2930474 · Received January 4, 2013

    Report

    Report Number
    1219930-2013-00005
    Event Type
    Injury
    Date Received
    January 4, 2013
    Report Date
    December 12, 2012
    Manufacturer
    COVIDIEN, FORMERLY US
    Product Code
    GDW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    .

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    5296 UNKNOWN DUET SULU NONE GDW COVIDIEN, FORMERLY US

    Patients

    Seq Age Sex Outcome Treatment
    1 Other