FDA.reportPublic FDA data

MAUDE MDR 8608998

MDR report key
8608998
Report number
1832475-2019-00004
Event key
0
Event type
3
Date of event
2019-04-11
Date received
2019-05-14
Adverse event
3
Product problem
0
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. JOHN PICHON
Address
7625 WEST NEW YORK STREET INDIANAPOLIS IN 46214 US
Phone
317-317-3172
Report source
M
Manufacturer link flag
Y

Devices#

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

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-05-140

Event Narratives#

No narrative records found.