FDA.reportPublic FDA data

MAUDE MDR 8889615

MDR report key
8889615
Report number
1818910-2019-100975
Event key
0
Event type
3
Date of event
2019-01-01
Date received
2019-08-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. KARA DITTY-BOVARD
Address
1210 WARD AVENUE WEST CHESTER IN 19380 US
Phone
610-610-6107
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ANTEVERSION OSTEOTOME MEDHIP INSTRUMENTS : CUTTING INSTRUMENTSDEPUY ORTHOPAEDICS INC USHWM200225000SO2018681R N

Patients#

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

Event Narratives#

No narrative records found.