MAUDE MDR 471099

MDR report key
471099
Report number
1018233-2003-00029
Event key
0
Event type
3
Date of event
2003-05-18
Date received
2003-07-09
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
VIVIAN STEPHENS, MGR
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1**C.R. BARD, INC.GCYNA*UNKNR*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12003-07-090

Event Narratives#

No narrative records found.