BEUDAMED
    FDA Adverse Event Death Summary report: N

    MAXI 500

    MDR report key: 3763216 · Received April 15, 2014

    Report

    Report Number
    9681684-2014-00024
    Event Type
    Death
    Date Received
    April 15, 2014
    Manufacturer
    ARJOHUNTLEIGH MAGOG, INC.
    Product Code
    FSA
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). ADDITIONAL INFORMATION WILL BE PROVIDED FOLLOWING THE CONCLUSION OF THE MANUFACTURER'S INVESTIGATION

    Description of Event or Problem · 1

    REFERENCE NUMBER IMPORTER (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    229335 MAXI 500 FSA ARJOHUNTLEIGH MAGOG, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1