FDA Adverse Event Death Summary report: N

AIRWAY - BASIC TRACHEAL

MDR report key: 372160 · Received January 17, 2002

Report

Report Number
9681384-2002-00002
Event Type
Death
Date Received
January 17, 2002
Date of Event
December 26, 2001
Report Date
January 10, 2002
Manufacturer
MMJ SA DE CV
Product Code
BTR
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AIRWAY - BASIC TRACHEAL HI-LO JET 2.5 MM BTR MMJ SA DE CV NA M071340

Patients

Seq Age Sex Outcome Treatment
1