MAUDE MDR 518756

MDR report key
518756
Report number
2150060-2004-00016
Event key
0
Event type
3
Date of event
2003-12-15
Date received
2004-03-15
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#

Address
14605 28TH AVE N MPLS MN 55357 US
Phone
763-763-7635
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1***LIF***NR*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12004-03-150

Event Narratives#

No narrative records found.