MAUDE MDR 9391951

MDR report key
9391951
Report number
1718850-2019-01187
Event key
0
Event type
3
Date of event
2019-06-27
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#

Address
US
Report source
D
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PERCEVAL SUTURELESS AORTIC HEART VALVETISSUE HEART VALVELIVANOVA CANADA CORP.LWRPVS25ICV1210* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-2901. R; 2. S

Event Narratives#

No narrative records found.