BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1219161-1997-00103

    MDR report key: 66864 · Received January 31, 1997

    Report

    Report Number
    1219161-1997-00103
    Event Type
    Malfunction
    Date Received
    January 31, 1997
    Date of Event
    June 18, 1996
    Product Code
    GAW
    Report Source
    Manufacturer report

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 Implant GAW

    Patients

    Seq Age Sex Outcome Treatment
    1