FDA.reportPublic FDA data

MAUDE MDR 9316513

MDR report key
9316513
Report number
2246640-2019-00009
Event key
0
Event type
3
Date of event
2019-10-14
Date received
2019-11-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
STACIE ZIEMBA
Address
1800 PYRAMID PLACE MEMPHIS TN 38132 US
Phone
901-901-9013
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1GRAFTON DBMBONE GRAFTING MATERIAL, HUMAN SOURCEMEDTRONIC EATONTOWNNUNNAT44115INTNAN N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-1301. R

Event Narratives#

No narrative records found.