FDA Adverse Event Other Summary report: N

UNK

MDR report key: 476433 · Received July 30, 2003

Report

Report Number
MW1029196
Event Type
Other
Date Received
July 30, 2003
Report Date
July 30, 2003
Manufacturer
HARD MFG. CO., INC.
Product Code
FMS
Report Source
Voluntary report
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

PT FALL. UNABLE TO FOLLOW UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK PEDIATRIC CRIB FMS HARD MFG. CO., INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 * Other