MAUDE MDR 8748848

MDR report key
8748848
Report number
1220246-2019-01191
Event key
0
Event type
3
Date of event
2018-10-02
Date received
2019-07-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
VIK BAJNATH
Phone
800-800-8009
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IBAL PATELLA IMPL DOME,37X 10 MMPROSTHESIS, KNEE, PATELLO/FEMORAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMERARTHREX, INC.KRRIBAL PATELLA IMPL DOME,37X 10 MMAR-504-PSD0113601225N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-0101. O

Event Narratives#

No narrative records found.