D
Patient 1
CUSTOMER REPORTS RINGS ARE TOO WIDE.
MAUDE MDR 471814
- MDR report key
- 471814
- Report number
- 2429473-2003-00078
- Event key
- 0
- Event type
- 3
- 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
- ROLANDA SCOTT, COORDINATOR
- Address
- 2450 MEADOWBROOK PKWY DULUTH GA 30096 US
- Phone
- 770-770-7706
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | NO SCALPEL VASECTOMY RING CLAMP | UROLOGICAL | RUSCH, INC. | KOA | NA | 244001 | UNK | K922971 | N | N | Y |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2003-07-09 | 0 |