FDA.reportPublic FDA data

MAUDE MDR 9198538

MDR report key
9198538
Report number
3011660924-2019-00016
Event key
0
Event type
3
Date of event
2019-10-14
Date received
2019-10-16
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
MR. REY OBNAMIA
Address
1035 CALLE AMANECER SAN CLEMENTE CA 92673 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LENA CUPMENSTRUAL CUPLENA CUP LLCHHEN N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-1601. O; 2. R

Event Narratives#

No narrative records found.