BEUDAMED
    FDA Adverse Event Death Summary report: N

    GIA 50 PREMIUM 3.8 STAINLESS STEEL DLU

    MDR report key: 505426 · Received January 7, 2004

    Report

    Report Number
    2647580-2004-00001
    Event Type
    Death
    Date Received
    January 7, 2004
    Date of Event
    December 10, 2002
    Report Date
    January 5, 2004
    Manufacturer
    PONCE-USS
    Product Code
    GAG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GIA 50 PREMIUM 3.8 STAINLESS STEEL DLU DISPOSABLE LOADING UNIT GAG PONCE-USS NA P1L109

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death