MAUDE MDR 8927268

MDR report key
8927268
Report number
2027111-2019-00569
Event key
0
Event type
3
Date of event
2019-07-25
Date received
2019-08-23
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
WENDY KOBAYASHI
Address
22872 AVENIDA EMPRESA RANCHO SANTA MARGARITA CA 92688 US
Phone
949-949-9497
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1C8322, XS ALEXIS WND PROT/RET SHRT 5/BXRING (WOUND PROTECTOR), DRAPE RETENTION, INTERNALAPPLIED MEDICAL RESOURCESKGWC83221013807011356320Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-230

Event Narratives#

No narrative records found.