MAUDE MDR 8800224

MDR report key
8800224
Report number
1525965-2019-00040
Event key
0
Event type
3
Date received
2019-07-17
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
MR. DERRICK MASSURI
Address
595 MINER RD CLEVELAND OH 44143 US
Phone
440-440-4404
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BRIGHTVIEW SPECTSYSTEM, TOMOGRAPHY, COMPUTED, EMISSIONPHILIPS MEDICAL SYSTEMS (CLEVELAND), INC.KPS2170-3000A882480Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-170

Event Narratives#

No narrative records found.