FDA Adverse Event
Death
Summary report: N
8030665-2007-00015
MDR report key: 832501
·
Received March 15, 2007
Report
- Report Number
- 8030665-2007-00015
- Event Type
- Death
- Date Received
- March 15, 2007
- Report Date
- March 15, 2007
- Manufacturer
- REYNOSA MANUFACTURING
- Product Code
- FJK
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FJK | REYNOSA MANUFACTURING |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |