FDA Adverse Event Malfunction Summary report: N

GEI

MDR report key: 972420 · Received April 16, 2007

Report

Report Number
1527736-2007-02742
Event Type
Malfunction
Date Received
April 16, 2007
Report Date
April 6, 2007
Product Code
GEI
PMA / PMN Number
K002981
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

INFORMATION IS UNAVAILABLE; DEVICE WAS NOT RETURNED FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GEI GEI Y45T20

Patients

Seq Age Sex Outcome Treatment
1