FDA.reportPublic FDA data

MAUDE MDR 9392242

MDR report key
9392242
Report number
9611451-2019-01146
Event key
0
Event type
3
Date of event
2019-10-28
Date received
2019-11-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
401
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. FARANAK GOMAROONI
Address
173 TECHNOLOGY DR. SUITE 100 IRVINE CA 92618 US
Phone
949-949-9494
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1VENTED AUTOFEED HUMIDIFICATION CHAMBERAUTOFEED CHAMBERFISHER & PAYKEL HEALTHCARE LTDBTTMR290VMR290V190713R Y

Patients#

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

Event Narratives#

No narrative records found.