BEUDAMED
    FDA Adverse Event Other Summary report: N

    SURGIFISH

    MDR report key: 5404451 · Received July 24, 2003

    Report

    Report Number
    2028175-2003-00001
    Event Type
    Other
    Date Received
    July 24, 2003
    Date of Event
    June 4, 2003
    Report Date
    July 23, 2003
    Manufacturer
    GREER MEDICAL, INC.
    Product Code
    GCZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGIFISH VISCERA RETAINER TO FACILITATE ABDOMINAL CLOSURE GCZ GREER MEDICAL, INC. 012003

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Hospitalization| R