FDA.reportPublic FDA data

MAUDE MDR 8915767

MDR report key
8915767
Report number
9610612-2019-00544
Event key
0
Event type
3
Date of event
2019-07-12
Date received
2019-08-21
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 KERSTIN ROTHWEILER
Address
PO BOX 40 TUTTLINGEN, 78501 GM
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BLOHMKE TONSIL SEIZING FORCEPS 205MMGENERAL SURGICAL INSTRUMENTSAESCULAP AGKAEOM617ROM617R4510130995Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-210

Event Narratives#

No narrative records found.