FDA Adverse Event
Other
Summary report: N
SIMIPLISSE BY DR BROWN
MDR report key: 3430315
·
Received October 16, 2013
Report
- Report Number
- 3008138005-2013-00007
- Event Type
- Other
- Date Received
- October 16, 2013
- Date of Event
- September 17, 2013
- Report Date
- October 16, 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 PHYSICIAN WITH MASTITIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 529542 | SIMIPLISSE BY DR BROWN | NONE | HGY | HANDI-CRAFT COMPANY | S1006 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24 YR | Other |