FDA Adverse Event Death Summary report: N

*

MDR report key: 621286 · Received July 12, 2005

Report

Report Number
8030665-2005-00025
Event Type
Death
Date Received
July 12, 2005
Date of Event
March 31, 2005
Report Date
July 11, 2005
Manufacturer
REYNOSA MANUFACTURING, C D
Product Code
FOZ
Report Source
Manufacturer report

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * FOZ REYNOSA MANUFACTURING, C D NA

Patients

Seq Age Sex Outcome Treatment
1 *