FDA.reportPublic FDA data

MAUDE MDR 8685250

MDR report key
8685250
Report number
1419341-2019-00003
Event key
0
Event type
3
Date of event
2019-03-18
Date received
2019-06-10
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. PETER SPARACIO
Address
5205 US HIGHWAY 12 RICHMOND IL 60071 US
Phone
815-815-8156
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LEICA BIOSYSTEMSGREEN JET BIOPSY II TAPED CASSETTE WITH LIDLEICA BIOSYSTEMS RICHMONDIDZ38440502A16289595N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-1001. O

Event Narratives#

No narrative records found.