FDA.reportPublic FDA data

MAUDE MDR 9343794

MDR report key
9343794
Report number
0002031963-2019-00005
Event key
0
Event type
3
Date of event
2019-10-23
Date received
2019-11-19
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
MR. KIMBERLY LYNCH
Address
1410 LAKESIDE PARKWAY #100 FLOWER MOUND TX 75028 US
Phone
972-972-9724
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1TELETOMBOOMSTRYKER-COMMUNICATIONSFQOTEL00000001Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-1901. O

Event Narratives#

No narrative records found.