MAUDE MDR 8955854

MDR report key
8955854
Report number
1419937-2019-00112
Event key
0
Event type
3
Date received
2019-09-03
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
JAN KLOIBER
Address
1101 CORPORATE DRIVE MCHENRY IL US
Phone
800-800-8004
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1THOPAZ+ PUMP SALEPUMP, PORTABLE, ASPIRATION (MANUAL OR POWERED)MEDELA AGBTA07910000791000NAY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-0301. O

Event Narratives#

No narrative records found.