FDA Adverse Event Other Summary report: N

SIMPLISSE BY DR. BROWN

MDR report key: 3246603 · Received July 19, 2013

Report

Report Number
3008138005-2013-00003
Event Type
Other
Date Received
July 19, 2013
Date of Event
June 24, 2013
Report Date
July 18, 2013
Manufacturer
HANDI-CRAFT COMPANY
Product Code
HGY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013 CASE (B)(6) REPORTED THAT SHE HAD BEEN DIAGNOSED BY A PHYSICIAN WITH MASTITIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
338156 SIMPLISSE BY DR. BROWN NONE HGY HANDI-CRAFT COMPANY S1006

Patients

Seq Age Sex Outcome Treatment
1 Other