BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 574871 · Received February 3, 2005

    Report

    Report Number
    2522007-2005-00001
    Event Type
    Other
    Date Received
    February 3, 2005
    Date of Event
    December 1, 2003
    Report Date
    February 2, 2005
    Manufacturer
    COOK VASCULAR INC.
    Product Code
    MFA
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * MFA COOK VASCULAR INC. LR-0FA01 N49031

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN