81096
Mdr report key: | 81096 |
---|---|
Report Number: | 2082643-1997-00509 |
Report Source Code: | M |
Manufacturer Link Flag: | Y |
Date Received: | 1997-02-04 |
Adverse Event Flag: | N |
Product Problem Flag: | Y |
Date Report: | 1997-02-04 |
Reporter Occupation Code: | 405 |
Health Professional: | N |
Initial Report to FDA: | U |
Event Location: | * |
Device date of Manufacture: | 1994-01-05 |
Single Use Flag: | N |
Remedial Action: | RL |
Previous Use Code: | I |
Removal Correction Number: | NA |
Event Type: | M |
Type of Report: | I |
Source Type: | 00 |
Date Added: | 1997-07-04 |
Date Changed: | 1997-07-04 |
Reporter Country Code: | US |
Summary Report: | N |
NOE Summarized: | 1 |