MAUDE MDR 9392041

MDR report key
9392041
Report number
1020279-2019-04205
Event key
0
Event type
3
Date of event
2019-11-05
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
DR. SARAH FREESTONE
Address
1450 BROOKS ROAD MEMPHIS TN 38116 US
Phone
44-44-0447
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1GII PS HI FLEX ISRT TR S3-4 9TRAY, SURGICAL, INSTRUMENTSMITH & NEPHEW, INC.FSM7143040811KM03355R R

Patients#

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

Event Narratives#

No narrative records found.