MAUDE MDR 8880673

MDR report key
8880673
Report number
3002924436-2019-00008
Event key
0
Event type
3
Date received
2019-08-09
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
MRS. LEILA KELLY
Address
11621 RESEARCH CIRCLE ALACHUA FL 32615 US
Phone
386-386-3864
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COPIOS? PERICARDIUM MEMBRANEDENTAL MEMBRANETUTOGEN MEDICAL GMBHNPLNZ17230308R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-0901. O

Event Narratives#

No narrative records found.