BEUDAMED
    FDA Adverse Event Other Summary report: N

    VECTOR

    MDR report key: 505866 · Received December 31, 2003

    Report

    Report Number
    MW1030716
    Event Type
    Other
    Date Received
    December 31, 2003
    Date of Event
    October 1, 2002
    Report Date
    December 23, 2003
    Manufacturer
    VECTOR
    Product Code
    KCX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VECTOR ELECTROLYSIS KCX VECTOR * *

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other