BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 506487 · Received December 24, 2003

    Report

    Report Number
    MW1030668
    Event Type
    Other
    Date Received
    December 24, 2003
    Date of Event
    December 12, 2003
    Report Date
    December 23, 2003
    Manufacturer
    *
    Product Code
    LMO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * GRAFT FAILURE LMO * GRAFT FAILURE *

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other