BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 422740 · Received October 16, 2002

    Report

    Report Number
    MW1026456
    Event Type
    Injury
    Date Received
    October 16, 2002
    Date of Event
    April 5, 2002
    Report Date
    September 1, 2002
    Manufacturer
    COOK SURGICAL
    Product Code
    LNN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED AN ABDOMINAL INFECTION FROM THE INTESTINAL GRAFT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * INTESTINAL GRAFT LNN COOK SURGICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Hospitalization