BEUDAMED
    FDA Adverse Event Other Summary report: N

    TUNA

    MDR report key: 504582 · Received December 10, 2003

    Report

    Report Number
    2950887-2003-01155
    Event Type
    Other
    Date Received
    December 10, 2003
    Report Date
    November 19, 2003
    Manufacturer
    MEDTRONIC GASTROENTEROLOGY/UROLOGY
    Product Code
    GEI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TUNA EEA GEI MEDTRONIC GASTROENTEROLOGY/UROLOGY 1800TU UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other