FDA.reportPublic FDA data

MAUDE MDR 8832412

MDR report key
8832412
Report number
1416980-2019-04062
Event key
0
Event type
3
Date received
2019-07-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Address
25212 W. ILLINOIS ROUTE 120 ROUND LAKE IL 60073 US
Phone
224-224-2242
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COUPLERDEVICE, ANASTOMOTIC, MICROVASCULARSYNOVIS SURGICAL INNOVATIONSMVRNA511100300060SP18L13-1342850* *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-07-260

Event Narratives#

No narrative records found.