FDA.reportPublic FDA data

MAUDE MDR 9391598

MDR report key
9391598
Report number
9710055-2019-00341
Event key
0
Event type
3
Date received
2019-11-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. PASCAL JAY
Address
PARC DE LIMERE AVENUE DE LA POMME DE PIN ARDON US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AXCELLIGHT, SURGICAL, CEILING MOUNTEDMAQUET SASFSYARD567501985ARD567501985N Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-290

Event Narratives#

No narrative records found.