MAUDE MDR 522572

MDR report key
522572
Report number
1018233-2004-00017
Event key
0
Event type
3
Date of event
2004-01-22
Date received
2004-04-22
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
VIVIAN STEPHENS, MANAGER
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*WOUND DRAINC.R. BARD, INC.GCYNAUNKUNKNR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12004-04-220

Event Narratives#

No narrative records found.