FDA.reportPublic FDA data

MAUDE MDR 9292653

MDR report key
9292653
Report number
8020616-2019-00134
Event key
0
Event type
3
Date of event
2019-08-01
Date received
2019-11-07
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. DAVID LOCKRIDGE
Address
1600 MERIT PARKWAY SOUTH JORDAN UT 84095 US
Phone
801-801-8012
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SAFEDRAW BLOOD SAMPLING SYSTEMBLOOD SAMPLING SYSTEMMERIT MEDICAL SINGAPORE PTE LTD.DSK688650R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-070

Event Narratives#

No narrative records found.