BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 54936 · Received December 9, 1996

    Report

    Report Number
    1315356-1996-90001
    Event Type
    Other
    Date Received
    December 9, 1996
    Manufacturer
    NOT AWARE THAT KODAK PRODUCT WAS INVOLVED.
    Product Code
    IWZ
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REFER TO PHYSICIAN LETTER DESCRIBING ADVERSE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK UNK IWZ NOT AWARE THAT KODAK PRODUCT WAS INVOLVED. NA *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN