MAUDE MDR 8768332

MDR report key
8768332
Report number
9610806-2019-00060
Event key
0
Event type
3
Date of event
2019-05-24
Date received
2019-07-08
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
CHRISTOPHER AEBIG
Address
511 BENEDICT AVE TARRYTOWN NY 10591 US
Phone
914-914-9145
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1N LATEX FLC KAPPAN LATEX FLC KAPPASIEMENS HEALTHCARE DIAGNOSTICS PRODUCTS GMBHDFHN LATEX FLC KAPPA10482437473145N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-080

Event Narratives#

No narrative records found.