BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 808245 · Received December 27, 2006

    Report

    Report Number
    9611894-2006-00004
    Event Type
    Other
    Date Received
    December 27, 2006
    Manufacturer
    *
    Product Code
    JAQ
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Additional Manufacturer Narrative · 1

    THE TRANSFER TUBE (GYN TUBE #3, PART 111.004, LOT #154874) WAS RETURNED TO NUCLETRON B.V. FOR EVALUATION. RESULTS AND CONCLUSIONS ARE PENDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * * JAQ * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *