FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 484582
·
Received September 16, 2003
Report
- Report Number
- 2250051-2003-00572
- Event Type
- Malfunction
- Date Received
- September 16, 2003
- Date of Event
- September 10, 2003
- Manufacturer
- *
- Product Code
- GKH
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | * | GKH | * | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |