FDA.reportPublic FDA data

MAUDE MDR 9391990

MDR report key
9391990
Report number
2112667-2019-02396
Event key
0
Event type
3
Date of event
2019-11-01
Date received
2019-11-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
JOHN SZALINSKI
Address
WI US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IVENT 201CRITICAL CARE VENTILATERDATEX-OHMEDA, INC.CBKM1163923Y Y

Patients#

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

Event Narratives#

No narrative records found.