MAUDE MDR 9391950

MDR report key
9391950
Report number
1643264-2019-00844
Event key
0
Event type
3
Date of event
2019-11-13
Date received
2019-11-29
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
HOLLY TOPPING
Address
7000 WEST WILLIAM CANNON DRIVE AUSTIN TX 78735 US
Phone
512-512-5123
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DII CONTROLLERELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIESSMITH & NEPHEW, INC.GEI72200873R R

Patients#

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

Event Narratives#

No narrative records found.