MAUDE MDR 8762694

MDR report key
8762694
Report number
1610287-2019-00020
Event key
0
Event type
3
Date received
2019-07-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. CINDY MILAM
Address
6201 SOUTH FREEWAY MAIL STOP AB2-6 FORT WORTH TX 76134 US
Phone
817-817-8176
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ISPAN GAS TANK REGULATORINTRAOCULAR GASAIR LIQUIDELPONA8065797303ASKUR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-040

Event Narratives#

No narrative records found.