FDA.reportPublic FDA data

MAUDE MDR 9392241

MDR report key
9392241
Report number
3009613036-2019-00004
Event key
0
Event type
3
Date of event
2019-11-01
Date received
2019-11-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. NARENDRA PATEL
Address
SURVEY NUMBER 135/139 BILAKHIA HOUSE, MUKTANAND MARG CHALA, VAPI, GUJARAT 39619 IN
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MOZEC? NC - RX PTCA BALLOON DILATATION CATHETERRAPID EXCHANGE PTCA BALLOON DILATATION CATHETERMERIL LIFE SCIENCES PRIVATE LIMITEDLOXMNC25035MNC25035MNCG99R N

Patients#

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

Event Narratives#

No narrative records found.