FDA.reportPublic FDA data

MAUDE MDR 9202409

MDR report key
9202409
Report number
8030965-2019-69393
Event key
0
Event type
3
Date received
2019-10-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
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
1UNK - DISTRACTOR IMPLANTSMANDIBLE DISTRACTION DEVICESOBERDORF SYNTHES PRODUKTIONS GMBHMQNR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-1701. R

Event Narratives#

No narrative records found.