MAUDE MDR 8927419

MDR report key
8927419
Report number
3004972304-2019-00043
Event key
0
Event type
3
Date of event
2019-06-06
Date received
2019-08-23
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. NEAL MALOY
Address
2200 AIRPORT INDUSTRIAL DRIVE SUITE 500 BALL GROUND GA 30107 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1H300UNIT, LIQUID OXYGEN, PORTABLECAIRE INC.BYJB-700848-00R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-2301. O

Event Narratives#

No narrative records found.