FDA.reportPublic FDA data

MAUDE MDR 8887843

MDR report key
8887843
Report number
3005099803-2019-04062
Event key
0
Event type
3
Date of event
2019-07-01
Date received
2019-08-13
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
CAROLE MORLEY
Address
300 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 US
Phone
508-508-5086
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1RESOLUTION CLIP CLIPPING DEVICECLIP, HEMOSTATICBOSTON SCIENTIFIC CORPORATIONMCHM005226112261ML001704C5R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-130

Event Narratives#

No narrative records found.