BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 3795406 · Received April 21, 2014

    Report

    Report Number
    3795406
    Event Type
    Injury
    Date Received
    April 21, 2014
    Date of Event
    April 1, 2014
    Report Date
    April 21, 2014
    Manufacturer
    GAYMAR INDUSTRIES, INC.
    Product Code
    ILO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    239561 * PACK, HOT OR COLD, WATER CIRCULATING ILO GAYMAR INDUSTRIES, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Other| R
    2 *