FDA.reportPublic FDA data

MAUDE MDR 808789

MDR report key
808789
Report number
808789
Event key
0
Event type
3
Date of event
2006-10-12
Date received
2007-01-11
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

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

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-01-110

Event Narratives#

D

Patient 1

JONES TUBE REMOVAL.