MAUDE MDR 9220071

MDR report key
9220071
Report number
MW5090554
Event key
0
Event type
3
Date of event
2019-10-17
Date received
2019-10-21
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
500
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1OLYMPUS FLEX CATCH NT, STONE RETRIEVAL DEVICEDISLODGER, STONE, FLEXIBLEOLYMPUS MEDICAL SYSTEMS CORP./ GYRUS ACMI, INC.FGONT4F1911591807222I N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-210

Event Narratives#

No narrative records found.