MAUDE MDR 8760144

MDR report key
8760144
Report number
3012307300-2019-02850
Event key
0
Event type
3
Date of event
2019-06-01
Date received
2019-07-03
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
DAVE HALVERSON
Address
6000 NATHAN LANE NORTH MINNEAPOLIS MN 55442 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PNEUPAC VENTILATOR ACCESSORY PATIENT VALVEVALVE, NON-REBREATHINGSMITHS MEDICAL ASD, INC.CBPW1431R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-030

Event Narratives#

No narrative records found.