FDA.reportPublic FDA data

MAUDE MDR 9081742

MDR report key
9081742
Report number
0001825034-2019-04159
Event key
0
Event type
3
Date of event
2018-09-14
Date received
2019-09-18
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. CHRISTINA ARNT
Address
56 E. BELL DR. WARSAW IN 46582 US
Phone
574-574-5745
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IRRIGATION TUBING ASSEMBLYINSTRUMENT, SURGICALZIMMER BIOMET, INC.JDXN/A423834217556R R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-180

Event Narratives#

No narrative records found.