FDA.reportPublic FDA data

MAUDE MDR 8905630

MDR report key
8905630
Report number
3003202425-2019-91427
Event key
0
Event type
3
Date of event
2019-07-24
Date received
2019-08-19
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
ANASTASIA SOKOLOVA
Address
40 LIBERTY BLVD, MC 65-1A MALVERN PA 19355 US
Phone
610-610-6104
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MULTIX IMPACTSTATIONARY X-RAY SYSTEMSIEMENS SHANGHAI MEDICAL EQUIPMENT LTDKPR11020788Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-1901. O

Event Narratives#

No narrative records found.