MAUDE MDR 9243966
- MDR report key
- 9243966
- Report number
- 3008579854-2019-00015
- Event key
- 0
- Event type
- 3
- Date of event
- 2019-10-04
- Date received
- 2019-10-28
- 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
- MR. BRIAN BECKER
- Address
- 2900 LAKE VISTA DRIVE LEWISVILLE TX 75067 US
- Report source
- M
- Manufacturer link flag
- Y
Devices#
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2019-10-28 | 0 | 1. R |
Event Narratives#
No narrative records found.