FDA.reportPublic FDA data

MAUDE MDR 9199495

MDR report key
9199495
Report number
1221934-2019-59039
Event key
0
Event type
3
Date of event
2019-01-01
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
KARA DITTY-BOVARD
Address
CHEMIN-BLANC 38 LE LOCLE 02400 SZ
Phone
610-610-6103
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ALL-IN-ONE CCU+LIGHT SOURCEENDOSCOPIC VIDEO IMAGING SYSTEMMEDOS INTERNATIONAL SàRLFCW242302242302R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-160

Event Narratives#

No narrative records found.