MAUDE MDR 9239671

MDR report key
9239671
Report number
2936999-2019-00895
Event key
0
Event type
3
Date of event
2019-10-08
Date received
2019-10-25
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
AVI KLUGER
Address
5920 LONGBOW DRIVE BOULDER CO 80301 US
Phone
303-303-3035
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SHILEYTUBE, TRACHEOSTOMY (W/WO CONNECTOR)MMJ SA DE CV (USD)BTO8PERC8PERC* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-250

Event Narratives#

No narrative records found.