MAUDE MDR 8941548

MDR report key
8941548
Report number
3012307300-2019-04467
Event key
0
Event type
3
Date received
2019-08-28
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
DAVE HALVERSON
Address
6000 NATHAN LANE NORTH MINNEAPOLIS MN 55442 US
Phone
763-763-7633
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CADD-SOLIS AMBULATORY INFUSION PUMPPUMP, INFUSION, PCASMITHS MEDICAL ASD, INC.MEA211021-2111-0100-51Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-280

Event Narratives#

No narrative records found.