Brand Name | RENUVION |
Type of Device | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES |
Manufacturer (Section D) |
|
MDR Report Key | 16911100 |
MDR Text Key | 315106108 |
Report Number | MW5117457 |
Device Sequence Number | 1 |
Product Code |
GEI
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
05/07/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 05/10/2023 |
Patient Sequence Number | 1 |
Treatment | ATORVASTATIN, CLIMARA PRO.; CALCIUM, D3, B12, MULTI-VITAMIN. |
Patient Outcome(s) |
Other;
|
Patient Age | 67 YR |
Patient Sex | Female |
Patient Weight | 52 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
|