FDA.reportPublic FDA data

MAUDE MDR 9392455

MDR report key
9392455
Report number
3004721439-2019-00303
Event key
0
Event type
3
Date of event
2019-06-12
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. JOERG KNEBEL
Address
2 ULANENWEG POTSDAM D, 14469 GM
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROGAV 2.0 SYS SA2.0 25 & CONTROL RES.HYDROCEPHALUS MANAGEMENTCHRISTOPH MIETHKE GMBH & CO. KGJXGFX603TFX603T20041699Y R

Patients#

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

Event Narratives#

No narrative records found.