FDA.reportPublic FDA data

MAUDE MDR 9237374

MDR report key
9237374
Report number
3007420694-2019-00176
Event key
0
Event type
3
Date of event
2019-09-27
Date received
2019-10-25
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
MS KINGA STOLINSKA
Address
UL. KS. WAWRZYNIAKA 2 KOMORNIKI, 62-05 PL
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ATMOSAIR 9000MATTRESS, FLOTATION THERAPY, NON-POWEREDARJOHUNTLEIGH POLSKA SP. Z O.O.IKYA9MRLVG35083TMSY Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-2501. O

Event Narratives#

No narrative records found.