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