MAUDE MDR 9314728

MDR report key
9314728
Report number
1220984-2019-00126
Event key
0
Event type
3
Date of event
2019-10-24
Date received
2019-11-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
KRISTIN FORNIERI
Address
36 & 37 APPLE RIDGE ROAD DANBURY CT 06810 US
Phone
203-203-2037
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SELENIA DIMENSIONS MAMMOGRAPHY SYSTEMFULL FIELD DIGITAL MAMMOGRAPHY SYSTEMHOLOGIC, INCMUESDM-SYS-9000-2DSDM-SYS-9000-2DY N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-130

Event Narratives#

No narrative records found.