MAUDE MDR 602031

MDR report key
602031
Report number
1062385-2005-00001
Event key
0
Event type
3
Date of event
2004-09-29
Date received
2005-03-31
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
MIKE SILVA
Address
4350 INTERNATIONAL BLVD NORCROSS GA 30093 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
13.5F BETA-RAIL DELIVERY CATHETERCATHETERNOVOSTE CORP.MOUP02578ABR-0346UNKNYR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12005-03-310

Event Narratives#

No narrative records found.