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 |