| Model Number |
400-140F |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
|
| Health Effect - Clinical Code |
Insufficient Information (4580)
|
| Date of Event |
08/19/2021
|
|
Type of Reportable Event
|
Serious Injury
|
|
Additional Manufacturer Narrative
|
|
The device will not be returned.If additional information becomes available, it will be provided in a supplemental report.Device disposition is unknown.
|
| |
|
Event or Problem Description
|
|
It was reported the poly was swapped.No further details regarding the revision were provided.
|
| |
|
Search Alerts/Recalls
|