MAUDE MDR 9392184

MDR report key
9392184
Report number
3004209178-2019-22826
Event key
0
Event type
3
Date of event
2019-08-10
Date received
2019-11-30
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
LISA WOODWARD CLARK
Address
7000 CENTRAL AVENUE NE RCW215 MINNEAPOLIS MN 55432 US
Phone
763-763-7635
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SURESCANSTIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEFMEDTRONIC PUERTO RICO OPERATIONS CO.LGW9771497714* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-300

Event Narratives#

No narrative records found.