FDA Adverse Event
Malfunction
Summary report: N
SLINGS, CLIP
MDR report key: 3823636
·
Received April 7, 2014
Report
- Report Number
- 3007420694-2014-00040
- Event Type
- Malfunction
- Date Received
- April 7, 2014
- Date of Event
- December 20, 2013
- Report Date
- March 7, 2014
- Manufacturer
- ARJOHUNTLEIGH POLSKA SP. ZO.O.
- Product Code
- IKX
- Product Problem
- Yes
- Report Source
- Manufacturer report
Narratives
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
(B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 207678 | SLINGS, CLIP | IKX | ARJOHUNTLEIGH POLSKA SP. ZO.O. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |