MAUDE MDR 9200779

MDR report key
9200779
Report number
2939274-2019-61550
Event key
0
Event type
3
Date received
2019-10-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
KARA DITTY-BOVARD
Address
1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US
Phone
610-610-6103
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PSI SD800.541 PEEK IMPLANTPLATE, CRANIOPLASTY, PREFORMED, NONALTERABLEWRIGHTS LANE SYNTHES USA PRODUCTS LLCGXNSD800.541SD800.54117P4529R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-170

Event Narratives#

No narrative records found.