BEUDAMED
    FDA Adverse Event Other Summary report: N

    DMS

    MDR report key: 748738 · Received July 28, 2005

    Report

    Report Number
    MW1036157
    Event Type
    Other
    Date Received
    July 28, 2005
    Date of Event
    December 2, 2004
    Report Date
    July 28, 2005
    Manufacturer
    INTERNATIONAL DIAGNOSTIC
    Product Code
    IZO
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT HAD A TEST DONE IN 2004. DR. WHO READ IT SAID, IT WAS NOT A TRUE TEST. PT WILL NEED FDA TO INVESTIGATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DMS X-RAY IZO INTERNATIONAL DIAGNOSTIC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 28 YR Other