MAUDE MDR 1103623

MDR report key
1103623
Report number
8010042-2008-00068
Event key
0
Event type
3
Date received
2008-05-30
Adverse event
0
Product problem
0
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
JAMIE YIEH
Address
1140 ROUTE 22 E, STE 202 BRIDGEWATER NJ 08807 US
Phone
908-908-9089
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MODNN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12008-05-300

Event Narratives#

No narrative records found.