FDA Adverse Event
Death
Summary report: N
PRISM HEALTHCARE
MDR report key: 667099
·
Received January 20, 2006
Report
- Report Number
- 1216677-2005-00035
- Event Type
- Death
- Date Received
- January 20, 2006
- Date of Event
- September 30, 2005
- Report Date
- January 19, 2006
- Manufacturer
- COOPERSURGICAL, INC.
- Product Code
- HDB
- Report Source
- Manufacturer report
- Reporter Occupation
- INVALID DATA
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRISM HEALTHCARE | VACUUM ASSIST DELIVERY CUP, M-STYLE | HDB | COOPERSURGICAL, INC. | 10007 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death| R |