FDA Adverse Event Other Summary report: N

*

MDR report key: 980466 · Received December 21, 2007

Report

Report Number
8040864-2007-00001
Event Type
Other
Date Received
December 21, 2007
Manufacturer
PURNABINA SDN BHD
Product Code
LYY
PMA / PMN Number
K003904
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

COMPLAINT INFO AND SAMPLES SENT TO MFG PLANT. RESULTS OF THE INVESTIGATION ARE EXPECTED AND FINDINGS WILL BE ISSUED IN A FOLLOW-UP REPORT. IMMEDIATE ACTION: THE DEVICE HISTORY RECORD WAS REVIEWED AND FOUND NO INCONSISTENCY IDENTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * LYY PURNABINA SDN BHD * *

Patients

Seq Age Sex Outcome Treatment
1