FDA Adverse Event Other Summary report: N

GELSOFT PLUS

MDR report key: 504194 · Received December 22, 2003

Report

Report Number
9612515-2003-00019
Event Type
Other
Date Received
December 22, 2003
Report Date
December 22, 2003
Manufacturer
VASCUTEK LTD.
Product Code
DSY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GELSOFT PLUS VASCULAR PROSTHESIS DSY VASCUTEK LTD. NA 53083/0

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention