FDA.reportPublic FDA data

MAUDE MDR 8962264

MDR report key
8962264
Report number
3012446970-2019-00027
Event key
0
Event type
3
Date of event
2019-07-30
Date received
2019-09-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
MR. BRIAN BECKER
Address
2900 LAKE VISTA DRIVE LEWISVILLE TX 75067 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DONJOY DEFIANCE IIIJOINT, KNEE, EXTERNAL BRACEDJO, LLCITQCONV DEFIANCE IIIR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-0401. R

Event Narratives#

No narrative records found.