MAUDE MDR 8732971

MDR report key
8732971
Report number
3006897778-2019-00010
Event key
0
Event type
3
Date of event
2019-05-29
Date received
2019-06-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
LISA HERNANDEZ
Address
60 MIDDLETOWN AVE. NORTH HAVEN CT 06473 US
Phone
203-203-2034
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ESOFLIPESOPHAGEAL DILATOR WITH BALLOON AND ELECTRODE SENSORSCROSPON LTDPIEES-330ES-330* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-06-2501. H; 2. R

Event Narratives#

No narrative records found.