BEUDAMED
    FDA Adverse Event Summary report: N

    PDT

    MDR report key: 6971983 · Received October 24, 2017

    Report

    Report Number
    MW5072913
    Date Received
    October 24, 2017
    Date of Event
    October 19, 2017
    Report Date
    October 22, 2017
    Manufacturer
    DUSA
    Product Code
    MVF
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PDT DONE INCORRECTLY. ADVERSE REACTION. TOLD TO COME FOR THERAPY AFTER THEY VERIFIED WITH MEDICARE THEY WOULD PAY. DID SO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    753820 PDT SYSTEM, LASER, PHOTODYNAMIC THERAPY MVF DUSA

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Other