FDA.reportPublic FDA data

MAUDE MDR 8869406

MDR report key
8869406
Report number
2126684-2019-00001
Event key
0
Event type
3
Date of event
2019-06-24
Date received
2019-08-07
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS AMY CURTIS
Address
101 ACTIVEAID ROAD REDWOOD FALLS MN 56283 US
Phone
507-507-5076
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ACTIVEAID720 BARIATRIC REHAB SHOWER/COMMODE CHAIRACTIVEAID, LLCINN720Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-070

Event Narratives#

No narrative records found.