FDA.reportPublic FDA data

MAUDE MDR 9203470

MDR report key
9203470
Report number
1221934-2019-59064
Event key
0
Event type
3
Date of event
2019-01-01
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
325 PARAMOUNT DRIVE RAYNHAM MA 02767 US
Phone
508-508-5089
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OVB1 CAMERA CONTROL UNITEDNOSCOPIC VIDEO IMAGE PROCESSORMEDOS INTERNATIONAL SàRLFWF242300242300N Y

Patients#

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

Event Narratives#

No narrative records found.