FDA Adverse Event Injury Summary report: N

VPEP

MDR report key: 6504626 · Received April 19, 2017

Report

Report Number
3012970776-2017-00001
Event Type
Injury
Date Received
April 19, 2017
Report Date
January 23, 2017
Manufacturer
D R BURTON HEALTHCARE, LLC
Product Code
BWF
PMA / PMN Number
K991561
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

REFERENCE # MW5067507 AND (B)(4). AS A RESPONSE TO THE MDR REPORT NUMBER MW5067507, D R BURTON HEALTHCARE, LLC PERFORMED AN INVESTIGATION INTO THE CLAIMS MADE AND PROVIDES THE FOLLOWING MANUFACTURER UPDATE: TO DATE D R BURTON HAS HAD NO DIRECT COMPLAINTS FROM ANY CUSTOMERS, THERE WAS NO HEALTHCARE PROFESSIONAL INFORMATION PROVIDED TO PURSUE THE BASIS OF THIS CLAIM, NO PRODUCT WAS RETURNED, AND POST MARKET SURVEILLANCE; WE CONTACTED 100% OF OUR CUSTOMERS AND 0% REPORTED ANY PROBLEMS WITH THIS REPORTED ISSUE OR ANY OTHER PRODUCT CONCERNS.

Description of Event or Problem · 1

REFERENCE #: MW5067507 AND (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
287922 VPEP OPEP BWF D R BURTON HEALTHCARE, LLC

Patients

Seq Age Sex Outcome Treatment
1