MAUDE MDR 9392011
- MDR report key
- 9392011
- Report number
- 3004721439-2019-00280
- 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
- 100
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 3
Devices#
Seq, Brand, Generic table| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|
| 1 | PROGAV 2.0 WITH SHUNTASSISTANT 25 | HYDROCEPHALUS MANAGEMENT | CHRISTOPH MIETHKE GMBH & CO. KG | JXG | FX414T | FX414T | 20040622 | | | | Y
| R |
Patients#
Sequence, Received, Treatment table| Sequence | Received | Treatment | Outcome |
|---|
| 1 | 2019-11-29 | 0 | 1. R
|
Event Narratives#
No narrative records found.