MAUDE MDR 9391696
- MDR report key
- 9391696
- Report number
- 2649622-2019-22257
- Event key
- 0
- Event type
- 3
- Date of event
- 2019-11-05
- Date received
- 2019-11-29
- 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
- PAULA BIXBY
- Address
- 8200 CORAL SEA ST NE MOUNDS VIEW MN 55112 US
- Phone
- 763-763-7635
- Report source
- M
- Manufacturer link flag
- Y
Devices#
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2019-11-29 | 0 |
Event Narratives#
No narrative records found.