FDA.reportPublic FDA data

MAUDE MDR 9391965

MDR report key
9391965
Report number
3006630150-2019-06941
Event key
0
Event type
3
Date of event
2012-10-02
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
TALAR TAHMASIAN
Address
25155 RYE CANYON LOOP VALENCIA CA 91355 US
Phone
661-661-6619
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PRECISIONSTIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEFBOSTON SCIENTIFIC NEUROMODULATIONLGWSC-1110-02SC-1110-0215946774R N

Patients#

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

Event Narratives#

No narrative records found.