81081
Mdr report key: | 81081 |
---|---|
Report Number: | 2921482-1997-00046 |
Report Source Code: | M |
Manufacturer Link Flag: | Y |
Adverse Event Flag: | N |
Product Problem Flag: | Y |
Date of Event: | 1997-11-02 |
Reporter Occupation Code: | 500 |
Health Professional: | N |
Initial Report to FDA: | N |
Date facility Aware: | 1997-02-11 |
Event Location: | 001 |
Device date of Manufacture: | 1992-01-12 |
Single Use Flag: | N |
Remedial Action: | OT |
Previous Use Code: | R |
Removal Correction Number: | NA |
Event Type: | M |
Type of Report: | I,F |
Source Type: | 05,06,07 |
Date Added: | 1997-07-04 |
Date Changed: | 1997-07-04 |
Reporter Country Code: | US |
Summary Report: | N |
NOE Summarized: | 1 |