BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROD TEST BRAND

    MDR report key: 4987491 · Received August 8, 2015

    Report

    Report Number
    2954323-2015-11111
    Event Type
    Injury
    Date Received
    August 8, 2015
    Date of Event
    August 8, 2015
    Report Date
    August 8, 2015
    Manufacturer
    ABBOTT DIABETES CARE INC.
    Product Code
    DFD
    PMA / PMN Number
    K12345678
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADDING TEXT AT POINT OF REDACTION - THEN REDACTING.

    Description of Event or Problem · 1

    REDACTING IN PROD

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    521175 PROD TEST BRAND PROD DEVICE TYOE DFD ABBOTT DIABETES CARE INC. M12345 L12345

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Congenital Anomaly| L CONCOMMITANT PROD MED PRODUCT - PROD REDAC