BEUDAMED
    FDA Adverse Event Other Summary report: N

    CHITO-SEAL

    MDR report key: 633835 · Received May 30, 2003

    Report

    Report Number
    633835
    Event Type
    Other
    Date Received
    May 30, 2003
    Date of Event
    May 16, 2003
    Report Date
    May 23, 2003
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    FRO
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHITO-SEAL TOPICAL HEMOSTASIS PAD FRO ABBOTT VASCULAR REF 12617 M03002902

    Patients

    Seq Age Sex Outcome Treatment
    1 39 YR