FDA.reportPublic FDA data

MAUDE MDR 8692007

MDR report key
8692007
Report number
1040777-2019-00029
Event key
0
Event type
3
Date of event
2019-05-03
Date received
2019-06-12
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
ADAM PRICE
Address
312 ALVIN DRIVE NEW KENSINGTON PA 15068 US
Phone
724-724-7243
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1E70 COUGH ASSISTPERCUSSOR, POWERED-ELECTRICRESPIRONICS, INC.BYI10981591098159R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-120

Event Narratives#

No narrative records found.