BEUDAMED
    FDA Adverse Event Other Summary report: N

    SILASTIC

    MDR report key: 781230 · Received June 21, 2006

    Report

    Report Number
    MW1040986
    Event Type
    Other
    Date Received
    June 21, 2006
    Date of Event
    May 1, 2006
    Report Date
    June 21, 2006
    Manufacturer
    UNK
    Product Code
    KGM
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILASTIC SILASTIC KGM UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other