MAUDE MDR 8703375

MDR report key
8703375
Report number
8703375
Event key
0
Event type
3
Date of event
2019-06-04
Date received
2019-06-17
Adverse event
0
Product problem
3
Patients in event
0
Reporter occupation
2
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
1INTEGRA? JARIT?HEMOSTATINTEGRA YORK PA, INC.HRQ107-220107220101707-1810* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-170

Event Narratives#

No narrative records found.