FDA.reportPublic FDA data

MAUDE MDR 9252231

MDR report key
9252231
Report number
2110898-2019-00127
Event key
0
Event type
3
Date of event
2019-10-02
Date received
2019-10-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
DIANNE GIBBS
Address
BUILDING 275 5W 06 ST. PAUL MN 55144 US
Phone
651-651-6517
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
13M? CUROS JET? DISINFECTING CAP FOR NEEDLELESS CONNECTORSCUROS JET DISINFECTING CAP3M HEALTH CARELKBN/ACFJ1-270UNKR N

Patients#

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

Event Narratives#

No narrative records found.