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