MAUDE MDR 9087983

MDR report key
9087983
Report number
1526012-2019-00003
Event key
0
Event type
3
Date received
2019-09-19
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
SARAH BEERCHECK
Address
8006 KATHERINE BLVD. BRECKSVILE OH 44141 US
Phone
440-440-4402
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AMT MINI ONE? ENTERAL EXTENSION SETENTERAL EXTENSION SETAPPLIED MEDICAL TECHNOLOGY, INC.PIF8-2455-ISOSAF190626-408R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-190

Event Narratives#

No narrative records found.