FDA.reportPublic FDA data

MAUDE MDR 472829

MDR report key
472829
Report number
1718850-2003-00016
Event key
0
Event type
3
Date of event
2003-04-25
Date received
2003-07-16
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
JACK ELLISON, MGR
Address
14401 W 65TH WAY ARVADA CO 80004 US
Phone
303-303-3034
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1FORCEPS, DALE GUARD, 7.5" LONG, NON STERILEFORCEPSCOBE CARDIOVASCULAR, INC.KRINA045720000UNKNR*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12003-07-160

Event Narratives#

No narrative records found.