MAUDE MDR 9120943

MDR report key
9120943
Report number
3006260740-2019-02828
Event key
0
Event type
3
Date received
2019-09-25
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
KAYLA OLSEN
Address
605 N. 5600 W. SALT LAKE CITY UT 84116 US
Phone
801-801-8015
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BARD POWERTRIALYSISCATHETER, HEMODIALYSIS, TRIPLE LUMEN, NON-IMPLANTEDBARD ACCESS SYSTEMSNIEN/AUNKNOWNUNKR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-2501. R

Event Narratives#

No narrative records found.