MAUDE MDR 8873725

MDR report key
8873725
Report number
1820334-2019-01962
Event key
0
Event type
3
Date received
2019-08-08
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. LARRY POOL
Address
750 DANIELS WAY BLOOMINGTON IN 47404 US
Phone
812-812-8123
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ULTRATHANE MAC-LOC LOCKING LOOP BILIARY DRAINAGE CATHETERGCA CATHETER, BILIARY, DIAGNOSTIC CATHETER, NEPHROSTOMYCOOK INCGCAN/AULT8.5-38-40-P-32S-CLB-RH9803570R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-080

Event Narratives#

No narrative records found.