FDA Adverse Event Malfunction Summary report: N

4151094

MDR report key: 4151094 · Received September 29, 2014

Report

Report Number
4151094
Event Type
Malfunction
Date Received
September 29, 2014
Date of Event
May 12, 2014
Report Date
September 29, 2014
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US

Patients

Seq Age Sex Outcome Treatment
1 3 MO