FDA Adverse Event
Death
Summary report: N
*
MDR report key: 566895
·
Received January 17, 2005
Report
- Report Number
- 2022870-2005-00001
- Event Type
- Death
- Date Received
- January 17, 2005
- Date of Event
- December 6, 2004
- Manufacturer
- MEDICAL DATA ELECTRONICS
- Product Code
- DRT
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | * | DRT | MEDICAL DATA ELECTRONICS | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Death | VENTILATOR |