MAUDE MDR 493386

MDR report key
493386
Report number
1018233-2003-00041
Event key
0
Event type
3
Date of event
2003-09-10
Date received
2003-10-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

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
1BARD 100CC SILICONE EVACUATORWOUND DRAIN*GCYNA0072430UNKK915536NR*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12003-10-290

Event Narratives#

No narrative records found.