UNKNOWN_FRO_PRODUCT UNK_FRO

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2019-07-16 for UNKNOWN_FRO_PRODUCT UNK_FRO manufactured by Stryker Orthobiologics-malvern.

MAUDE Entry Details

Report Number0008010177-2019-00042
MDR Report Key8795645
Report SourceCOMPANY REPRESENTATIVE
Date Received2019-07-16
Date of Report2019-11-08
Date of Event2019-01-01
Date Mfgr Received2019-06-27
Date Added to Maude2019-07-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. GREGORY GOHL
Manufacturer StreetBOETZINGERSTR. 41
Manufacturer CityFREIBURG D-79111
Manufacturer PostalD-79111
Manufacturer Phone76145120
Manufacturer G1STRYKER ORTHOBIOLOGICS-MALVERN
Manufacturer Street45 GREAT VALLEY PARKWAY
Manufacturer CityMALVERN PA 19355
Manufacturer CountryUS
Manufacturer Postal Code19355
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_FRO_PRODUCT
Generic NameIMPLANT
Product CodeFWP
Date Received2019-07-16
Catalog NumberUNK_FRO
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOBIOLOGICS-MALVERN
Manufacturer Address45 GREAT VALLEY PARKWAY MALVERN PA 19355 US 19355


Patients

Patient NumberTreatmentOutcomeDate
10 2019-07-16

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