FDA.reportPublic FDA data

MAUDE MDR 9301458

MDR report key
9301458
Report number
3007409280-2019-00080
Event key
0
Event type
3
Date received
2019-11-08
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
JENNA VARGAS
Address
212 AVENIDA FABRICANTE SAN CLEMENTE CA 92672 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PHILIPS M2736A AVALON U/S TRANSDUCERTRANSDUCERPHILIPS MEDIZIN SYSTEME BOEBLINGEN GMBHHGMFFPH5505N R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-080

Event Narratives#

No narrative records found.