FDA.reportPublic FDA data

MAUDE MDR 9392209

MDR report key
9392209
Report number
3003442380-2019-01945
Event key
0
Event type
3
Date received
2019-11-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Address
AAHOLMVEJ 1-3 OSTED LEJRE, 4320 DA
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SURE-T? PARADIGM?CONTACT DETACH G29 80/6 PCCFPA5278544* *

Patients#

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

Event Narratives#

No narrative records found.