FDA.reportPublic FDA data

MAUDE MDR 8722053

MDR report key
8722053
Report number
3032391-2019-00013
Event key
0
Event type
3
Date of event
2019-06-03
Date received
2019-06-21
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
STEPHEN WILSON
Address
1500 NE HEMLOCK AVE REDMOND OR 97756 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HAR36M @HARMONIC ACE+ SHEARS W/OUT ADAPTMEDLINE RENEWALNLQHAR36MRH413882Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-2101. O

Event Narratives#

No narrative records found.