FDA.reportPublic FDA data

MAUDE MDR 9041626

MDR report key
9041626
Report number
2243072-2019-02021
Event key
0
Event type
3
Date of event
2019-08-22
Date received
2019-09-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
BDX BRETT WILKO
Address
9450 SOUTH STATE STREET SANDY UT 84070 US
Phone
801-801-8015
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BD SEDI-40ESR INSTRUMENTBECTON DICKINSONGHC361546UNKNOWNR *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-1301. O

Event Narratives#

No narrative records found.