BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HANS RUDOLPH, INC.

    MDR report key: 504914 · Received December 31, 2003

    Report

    Report Number
    MW1030680
    Event Type
    Injury
    Date Received
    December 31, 2003
    Date of Event
    December 29, 2003
    Report Date
    December 31, 2003
    Manufacturer
    *
    Product Code
    BYG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PATIENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HANS RUDOLPH, INC. FULL FACE/ORO-NASAL/C-PAP/NPP MASK BYG * 7600 SERIES *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR