MDR Report Key | 12142632 |
Report Number | COR21000176-000 |
Device Sequence Number | 1 |
Product Code |
JAK
|
Reporter Country Code | NL |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
06/10/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/10/2021 |
Is this a Product Problem Report? |
No
|
Device Operator |
Other
|
Was Device Available for Evaluation? |
No Information
|
Patient Sequence Number | 1 |
|
|