BEUDAMED
    FDA Adverse Event Other Summary report: N

    SIMPLISSE BY DR. BROWN

    MDR report key: 3409247 · Received October 3, 2013

    Report

    Report Number
    3008138005-2013-00006
    Event Type
    Other
    Date Received
    October 3, 2013
    Date of Event
    September 3, 2013
    Report Date
    October 3, 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)(4) REPORTED THAT SHE HAD BEEN DIAGNOSED BY A PHYSICIAN WITH MASTITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    499631 SIMPLISSE BY DR. BROWN NONE HGY HANDI-CRAFT COMPANY S1006 SPO 10207

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other