MAUDE MDR 9050345

MDR report key
9050345
Report number
2954317-2019-00005
Event key
0
Event type
3
Date of event
2019-06-19
Date received
2019-09-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
501
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
D
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1WINGEATER A. V. FISTULA 15G X 1" BE WITH CLAMPFISTULA NEEDLEJMS SINGAPORE PTE LTDFIE820-5002-33181112351* N

Patients#

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

Event Narratives#

No narrative records found.