FDA.reportPublic FDA data

MAUDE MDR 9391997

MDR report key
9391997
Report number
1644408-2019-01163
Event key
0
Event type
3
Date of event
2019-10-30
Date received
2019-11-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
TEFFANY HUTTO
Address
9800 METRIC BLVD AUSTIN TX 78758 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1X-ALT HIGHLY HIPLINER 10 HOODED NEU, MP6, HXE-PLUS, 32MMENCORE MEDICAL L.P.LPH932-32-750932-32-750811N1948R N

Patients#

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

Event Narratives#

No narrative records found.