BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CRYOLIFE, INC.

    MDR report key: 5404488 · Received December 11, 2003

    Report

    Report Number
    5404488
    Event Type
    Injury
    Date Received
    December 11, 2003
    Date of Event
    November 19, 2003
    Report Date
    December 11, 2003
    Manufacturer
    CRYOLIFE, INC.
    Product Code
    MUQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CRYOLIFE, INC. BIOGLUE MUQ CRYOLIFE, INC. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Life Threatening