FDA.reportPublic FDA data

MAUDE MDR 9392280

MDR report key
9392280
Report number
0001032347-2019-00518
Event key
0
Event type
3
Date of event
2019-07-12
Date received
2019-11-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. CHRISTOPHER PAPPAS
Address
1520 TRADEPORT DRIVE JACKSONVILLE FL 32218 US
Phone
904-904-9047
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
111.5" TITANIUM PECTUS BARCUSTOM TITANIUM PECTUS BARBIOMET MICROFIXATIONHRSN/APT-3137918430R N

Patients#

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

Event Narratives#

No narrative records found.