BEUDAMED
    FDA Adverse Event Other Summary report: N

    D-TRONPLUS

    MDR report key: 952831 · Received September 2, 2004

    Report

    Report Number
    2183996-2004-00618
    Event Type
    Other
    Date Received
    September 2, 2004
    Date of Event
    August 3, 2004
    Report Date
    August 3, 2004
    Manufacturer
    DISETRONIC MEDICAL SYSTEMS, INC.
    Product Code
    LZG
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DE, US
    Reporter Occupation
    PATIENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 D-TRONPLUS INSULIN INFUSION PUMP LZG DISETRONIC MEDICAL SYSTEMS, INC. D-TRONPLUS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 YR