BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 500962 · Received December 11, 2003

    Report

    Report Number
    500962
    Event Type
    Other
    Date Received
    December 11, 2003
    Date of Event
    October 23, 2003
    Report Date
    November 26, 2003
    Manufacturer
    UNK
    Product Code
    EZY
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REMOVAL OF ARTIFICIAL URINARY SPHINCTER RESERVOIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK UNK EZY UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Other