MAUDE MDR 8816235

MDR report key
8816235
Report number
1820334-2019-01759
Event key
0
Event type
3
Date of event
2019-07-08
Date received
2019-07-23
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
MR. LARRY POOL
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1FLEXOR URETERAL ACCESS SHEATH AND DILATORSEZN DILATOR, CATHETER, URETERALCOOK INCEZNG46168FUS-1200459447677R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-230

Event Narratives#

No narrative records found.