MAUDE MDR 9124476
- MDR report key
- 9124476
- Report number
- 1825660-2019-00625
- Event key
- 0
- Event type
- 3
- Date of event
- 2019-08-31
- Date received
- 2019-09-26
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 3
Manufacturer Contact#
- Contact
- BRENDA MUMBOWER
- Address
- 4701 EAST PARIS AVE SE GRAND RAPIDS MI 49512 US
- Phone
- 616-616-6166
- Report source
- M
- Manufacturer link flag
- Y
Devices#
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2019-09-26 | 0 |
Event Narratives#
No narrative records found.