BEUDAMED
    FDA Adverse Event Injury Summary report: N

    6000039-2001-00055

    MDR report key: 367665 · Received December 13, 2001

    Report

    Report Number
    6000039-2001-00055
    Event Type
    Injury
    Date Received
    December 13, 2001
    Date of Event
    November 14, 2001
    Report Date
    November 15, 2001
    Product Code
    LIT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    56281 LIT

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR Required Intervention