FDA Adverse Event Summary report: N

V-RISER

MDR report key: 936288 · Received April 10, 2007

Report

Report Number
1931947-2007-00001
Date Received
April 10, 2007
Date of Event
March 19, 2007
Report Date
April 9, 2007
Manufacturer
NOA MEDICAL INDUSTRIES, INC.
Product Code
---
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 V-RISER FNL --- NOA MEDICAL INDUSTRIES, INC. 1040010BLK *

Patients

Seq Age Sex Outcome Treatment
1 61 YR