FDA Adverse Event Malfunction Summary report: N

A&E MEDICAL MYOWIRE IIA&E MEDICAL MYOWIRE II

MDR report key: 4976121 · Received July 22, 2015

Report

Report Number
4976121
Event Type
Malfunction
Date Received
July 22, 2015
Date of Event
July 21, 2015
Report Date
July 22, 2015
Manufacturer
ALTO DEVELOPMENT CORP
Product Code
GAO
Product Problem
Yes
Report Source
User Facility report

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
476747 A&E MEDICAL MYOWIRE IIA&E MEDICAL MYOWIRE II SUTURE, NONABSORBABLE, STEEL GAO ALTO DEVELOPMENT CORP * 0560S

Patients

Seq Age Sex Outcome Treatment
0 52 YR