FDA.reportPublic FDA data

MAUDE MDR 9153484

MDR report key
9153484
Report number
3011423170-2019-00101
Event key
0
Event type
3
Date of event
2017-10-03
Date received
2019-10-03
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. JULI MOORE
Address
3365 TREE COURT INDUSTRIAL BLV ST. LOUIS MO 63122 US
Phone
636-636-6362
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VASERLIPO SYSTEMSYSTEM, SUCTION, LIPOPLASTYSOLTA MEDICALMUU N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-030

Event Narratives#

No narrative records found.