FDA.reportPublic FDA data

MAUDE MDR 9392006

MDR report key
9392006
Report number
3013756811-2019-84964
Event key
0
Event type
3
Date of event
2019-11-17
Date received
2019-11-29
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MICK TRIER
Address
SAN DIEGO CA 92121 US
Phone
858-858-8584
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1T:SLIM G4 SYSTEMINSULIN PUMPTANDEM DIABETES CAREOYC4628-003006194R Y

Patients#

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

Event Narratives#

No narrative records found.