FDA.reportPublic FDA data

MAUDE MDR 8941675

MDR report key
8941675
Report number
9680904-2019-00018
Event key
0
Event type
3
Date of event
2019-07-12
Date received
2019-08-28
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#

Address
75 N. FAIRVIEW DRIVE VERNON HILLS IL 60061 US
Phone
801-801-8015
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IS PLEURX DRAINAGE KIT 1000MLAPPARATUS, SUCTION, PATIENT CARECAREFUSION, INCDWM50-75100001274435Y *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-08-2801. O

Event Narratives#

No narrative records found.