BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 577159 · Received February 18, 2005

    Report

    Report Number
    1124603-2005-00005
    Event Type
    Other
    Date Received
    February 18, 2005
    Date of Event
    September 2, 2004
    Report Date
    February 18, 2005
    Manufacturer
    LIFENET
    Product Code
    LMO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * TISSUE HOMOGRAFT LMO LIFENET * 01-3064HV01

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other