FDA Adverse Event Other Summary report: N

COR15000422-000

MDR report key: 5091672 · Received September 21, 2015

Report

Report Number
COR15000422-000
Event Type
Other
Date Received
September 21, 2015
Report Date
September 18, 2015
Product Code
RCA
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER
Health Professional
I

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
621402 RCA

Patients

Seq Age Sex Outcome Treatment
1