BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 480878 · Received August 18, 2003

    Report

    Report Number
    1119193-2003-00003
    Event Type
    Other
    Date Received
    August 18, 2003
    Date of Event
    September 5, 2002
    Manufacturer
    HOLLISTER, INC.
    Product Code
    CBH
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    SURGICAL PROCEDURE WAS REQUIRED TO REPAIR FULL THICKNESS EROSION ABOVE UPPER LIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * ORAL ENDOTRACHEAL TUBE ATTACHMENT DEVICE CBH HOLLISTER, INC. NA 2E232

    Patients

    Seq Age Sex Outcome Treatment
    1 *