MAUDE MDR 9310724

MDR report key
9310724
Report number
1416980-2019-06280
Event key
0
Event type
3
Date of event
2019-10-11
Date received
2019-11-12
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
109
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Address
25212 W. ILLINOIS ROUTE 120 ROUND LAKE IL 60073 US
Phone
224-224-2242
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EM 2400, LOAD CELL MODULESYSTEM/DEVICE, PHARMACY COMPOUNDINGBAXTER HEALTHCARE CORPORATIONNEPNA2400LN/AY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-120

Event Narratives#

No narrative records found.