BEUDAMED
    FDA Adverse Event Death Summary report: N

    POLYDOROS 80 GENERATOR

    MDR report key: 65233 · Received December 27, 1996

    Report

    Report Number
    2240869-1996-00005
    Event Type
    Death
    Date Received
    December 27, 1996
    Date of Event
    November 26, 1996
    Manufacturer
    SIEMENS MEDICAL SYSTEM, INC.
    Product Code
    IZO
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POLYDOROS 80 GENERATOR FLUOROSCOPY IZO SIEMENS MEDICAL SYSTEM, INC. 83 38 063 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 FORTHCOMING| INFO REQUESTED ON ANGIOPLSTY DEVICES-NONE