MAUDE MDR 8680713

MDR report key
8680713
Report number
2432235-2019-00201
Event key
0
Event type
3
Date of event
2019-04-25
Date received
2019-06-07
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. MARDOCHEE TIMOLIEN
Address
511 BENEDICT AVENUE TARRYTOWN NY 10591 US
Phone
914-914-9145
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IMMULITE 2000 XPI - SPEIMMULITE 2000 XPI - SPESIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS, LIMITEDDHBIMMULITE 2000 XPI - SPE10380875717N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-070

Event Narratives#

No narrative records found.