FDA.reportPublic FDA data

MAUDE MDR 9322072

MDR report key
9322072
Report number
2024168-2019-13565
Event key
0
Event type
3
Date of event
2019-10-24
Date received
2019-11-14
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
MS. LINDSEY BELL
Address
26531 YNEZ RD. TEMECULA CA 92591 US
Phone
951-951-9519
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
120/30 PRIORITY PACK 20/30 INDEFLATORACCESSORIESABBOTT VASCULARMAV100018660189313R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-140

Event Narratives#

No narrative records found.