MAUDE MDR 251757

MDR report key
251757
Report number
2124979-1999-00013
Event key
0
Event type
3
Date of event
1999-09-21
Date received
1999-11-23
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
CAROLYN DE JONGE
Address
609 BEECHWOOD RD WILLOW GROVE PA 19090 US
Phone
215-215-2156
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HGG002220-501NR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11999-11-230

Event Narratives#

No narrative records found.