MAUDE MDR 545547
- MDR report key
- 545547
- Report number
- 1018233-2004-00062
- Event key
- 0
- Event type
- 3
- Date of event
- 2004-07-26
- Date received
- 2004-09-17
- 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
- VIVIAN STEPHENS
- Address
- 8195 INDUSTRIAL BLVD. COVINGTON GA 30014 US
- Phone
- 770-770-7707
- Report source
- M
- Manufacturer link flag
- Y
Devices#
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2004-09-17 | 0 |
Event Narratives#
No narrative records found.