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
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