BEUDAMED
    FDA Adverse Event Other Summary report: N

    3-M IOBAN INCISE DRAPE

    MDR report key: 504417 · Received December 23, 2003

    Report

    Report Number
    MW1030617
    Event Type
    Other
    Date Received
    December 23, 2003
    Date of Event
    December 10, 2003
    Report Date
    December 17, 2003
    Manufacturer
    3-M CENTER, 3-M HEALTHCARE
    Product Code
    KKX
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 3-M IOBAN INCISE DRAPE SURGICAL DRAPE KKX 3-M CENTER, 3-M HEALTHCARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Other