FDA Adverse Event Other Summary report: N

*

MDR report key: 557628 · Received November 23, 2004

Report

Report Number
9611112-2004-00001
Event Type
Other
Date Received
November 23, 2004
Manufacturer
*
Product Code
JYG
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * JYG * * *

Patients

Seq Age Sex Outcome Treatment
1 *