MAUDE MDR 9238492

MDR report key
9238492
Report number
1213643-2019-10240
Event key
0
Event type
3
Date received
2019-10-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
ANNA SMITH
Address
100 CROSSINGS BLVD. WARWICK RI 02886 US
Phone
401-401-4018
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ARISTA AH ABSORBABLE HEMOSTATAGENT, ABSORBABLE HEMOSTATIC, NON COLLAGEN BASEDDAVOL INC., SUB. C.R. BARD, INC.LMGNAUNKAA097NIR N

Patients#

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

Event Narratives#

No narrative records found.