BEUDAMED
    FDA Adverse Event Other Summary report: N

    50-13172 SPECIAL PROCEDURE TRAY #6957

    MDR report key: 316461 · Received February 12, 2001

    Report

    Report Number
    1034876-2001-00003
    Event Type
    Other
    Date Received
    February 12, 2001
    Date of Event
    January 5, 2001
    Manufacturer
    DEROYAL INC
    Product Code
    LRO
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    5382 50-13172 SPECIAL PROCEDURE TRAY #6957 CTG CUSTOM PROCEDURAL TRAY GENERAL LRO DEROYAL INC 2 543415

    Patients

    Seq Age Sex Outcome Treatment
    1 *