BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GCY

    MDR report key: 869140 · Received June 13, 2007

    Report

    Report Number
    1018233-2007-00034
    Event Type
    Injury
    Date Received
    June 13, 2007
    Product Code
    GCY
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    NO SAMPLE OR LOT NUMBER INFO WERE PROVIDED FOR INVESTIGATION. THE BRAND NAME PROVIDED IS A COMPETITOR'S BRAND NAME FOR WHICH THIS MFR DOES HAVE A SIMILAR PRODUCT. THE EXACT DEVICE BRAND NAME, PRODUCT NUMBER AND LOT NUMBER WERE NOT PROVIDED AND REMAIN UNK. ADD'L INFO HAS BEEN REQUESTED, BUT HAS NOT BEEN RECEIVED. BASELINE REPORT HAS BEEN FILED FOR THIS MFR'S WOUND DRAINS. CORRECTIVE/ADDITIONS TO THE USER FACILITY REPORT HAS BEEN MADE ON THIS FORM IN PRINT WITH BLUE INK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GCY GCY NA

    Patients

    Seq Age Sex Outcome Treatment
    1