81098
Mdr report key: | 81098 |
---|---|
Report Number: | 1219544-1997-00124 |
Report Source Code: | M |
Manufacturer Link Flag: | Y |
Date Received: | 1997-04-04 |
Adverse Event Flag: | Y |
Product Problem Flag: | Y |
Date Report: | 1997-07-03 |
Health Professional: | Y |
Initial Report to FDA: | U |
Date Report to FDA: | 1997-04-04 |
Event Location: | 001 |
Date Manufacturer Received: | 1997-07-03 |
Device date of Manufacture: | 1996-01-09 |
Single Use Flag: | Y |
Previous Use Code: | U |
Event Type: | IN |
Type of Report: | I |
Source Type: | 05,06 |
Date Added: | 1997-07-04 |
Date Changed: | 1997-07-04 |
Reporter Country Code: | US |
Summary Report: | N |
NOE Summarized: | 1 |