MAUDE MDR 9012283

MDR report key
9012283
Report number
1043534-2019-00140
Event key
0
Event type
3
Date of event
2014-05-27
Date received
2019-09-12
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR MATTHEW PARRISH
Address
1023 CHERRY RD MEMPHIS TN 38117 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OSTEOSETFILLER, BONE VOID, CALCIUM COMPOUNDWRIGHT MEDICAL TECHNOLOGY, INC.MQVUNKUNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-1201. R; 2. S

Event Narratives#

No narrative records found.