FDA.reportPublic FDA data

MAUDE MDR 9249891

MDR report key
9249891
Report number
1417411-2019-00054
Event key
0
Event type
3
Date of event
2019-05-21
Date received
2019-10-29
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
KATHARINE TARPLEY
Address
3015 CARRINGTON MILL BLVD MORRISVILLE NC 27560 US
Phone
919-919-9194
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HUDSON AQUAPAK 340 SW,340 ML W/040 ADAPTORHUMIDIFIER NEBULIZER KITTELEFLEX MEDICALOGG003-4018B241Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-10-290

Event Narratives#

No narrative records found.