BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 547898 · Received September 16, 2003

    Report

    Report Number
    547898
    Event Type
    Other
    Date Received
    September 16, 2003
    Date of Event
    June 3, 2003
    Report Date
    September 16, 2003
    Manufacturer
    *
    Product Code
    FPS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TN, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * BED EXTENDER FPS * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * NO OTHER THERAPIES