BEUDAMED
    FDA Adverse Event Other Summary report: N

    UVAR XTS PHOTOPHERESIS SYSTEM

    MDR report key: 506627 · Received December 24, 2003

    Report

    Report Number
    2523595-2003-00003
    Event Type
    Other
    Date Received
    December 24, 2003
    Date of Event
    December 3, 2003
    Report Date
    December 23, 2003
    Manufacturer
    THERAKOS, INC.
    Product Code
    LNR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UVAR XTS PHOTOPHERESIS SYSTEM UVAR XTS PHOTOPHERESIS SYSTEM LNR THERAKOS, INC. UVAR XTS INSTRUMENT NA

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR Hospitalization