FDA Adverse Event
Other
Summary report: N
BLOM-SINGER LOW PRESSURE V.P.
MDR report key: 443676
·
Received February 18, 2003
Report
- Report Number
- 2025182-2003-00003
- Event Type
- Other
- Date Received
- February 18, 2003
- Date of Event
- January 17, 2003
- Report Date
- January 22, 2003
- Manufacturer
- HELIX MEDICAL, INC.
- Product Code
- EWL
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
Narratives
Description of Event or Problem · 1
"PATIENT INGESTED 2 (TWO) PROSTHESES PRIOR TO THE HOLIDAYS." (EXACT DATES UNKNOWN).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BLOM-SINGER LOW PRESSURE V.P. | VOICE PROSTHESIS | EWL | HELIX MEDICAL, INC. | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |