MAUDE MDR 9195076

MDR report key
9195076
Report number
3011649314-2019-00591
Event key
0
Event type
3
Date received
2019-10-15
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
116
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. HERBERT SCHOENHOEFER
Address
2212 DUPONT DRIVE SUITE P IRVINE CA 92612 US
Phone
949-949-9494
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TAP IIITAP IIIPRISMATIK DENTALCRAFT INC.LRKN N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-1501. R

Event Narratives#

No narrative records found.