MAUDE MDR 548942

MDR report key
548942
Report number
1018233-2004-00075
Event key
0
Event type
3
Date of event
2004-07-21
Date received
2004-10-12
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, 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
1BARD HUBLESS SILICONE DRAINWOUND DRAINC.R. BARD, INC.GCY*0070370*K782026NRN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12004-10-120

Event Narratives#

No narrative records found.