BEUDAMED
    FDA Adverse Event Death Summary report: N

    CODMAN TUBING CLAMP

    MDR report key: 495150 · Received November 14, 2003

    Report

    Report Number
    1226348-2003-00262
    Event Type
    Death
    Date Received
    November 14, 2003
    Date of Event
    September 14, 2003
    Report Date
    November 10, 2003
    Manufacturer
    CODMAN & SHURTLEFF, INC.
    Product Code
    GDJ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CODMAN TUBING CLAMP CLAMP, SURGICAL, GENERAL & PLASTIC SURGERY GDJ CODMAN & SHURTLEFF, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death