70859
| Mdr report key: | 70859 |
|---|---|
| Report Number: | 1816403-1997-00061 |
| Report Source Code: | M |
| Manufacturer Link Flag: | Y |
| Adverse Event Flag: | Y |
| Product Problem Flag: | Y |
| Date Report: | 1997-08-01 |
| Date of Event: | 1997-08-01 |
| Reporter Occupation Code: | 1 |
| Health Professional: | Y |
| Initial Report to FDA: | N |
| Date facility Aware: | 1997-01-08 |
| Event Location: | 001 |
| Device date of Manufacture: | 1984-01-03 |
| Single Use Flag: | Y |
| Previous Use Code: | I |
| Event Type: | IN |
| Type of Report: | I |
| Source Type: | 05 |
| Reporter Country Code: | US |
| Summary Report: | N |
| NOE Summarized: | 1 |