FDA Adverse Event
Malfunction
Summary report: N
UNK
MDR report key: 2945633
·
Received December 31, 2012
Report
- Report Number
- 2945633
- Event Type
- Malfunction
- Date Received
- December 31, 2012
- Date of Event
- December 4, 2012
- Report Date
- December 31, 2012
- Manufacturer
- UNK
- Product Code
- GES
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- IL, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNK | BLADE, SCALPEL | GES | UNK | UNK | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23 YR |