MAUDE MDR 9391742

MDR report key
9391742
Report number
8043484-2019-00874
Event key
0
Event type
3
Date of event
2019-10-25
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
DR. SARAH FREESTONE
Address
101 HESSLE ROAD HULL HU3 2 UK
Phone
44-44-0447
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VERSAJET EXACT ASSY, 45 DEGREE X 14MMLAVAGE, JETSMITH & NEPHEW MEDICAL LTD.FQH6680004150764650* Y

Patients#

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

Event Narratives#

No narrative records found.