MAUDE MDR 940159

MDR report key
940159
Report number
1058138-2004-00034
Event key
0
Event type
3
Date of event
2004-08-12
Date received
2004-08-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
CATHERINE MCMULLEN, SITE DIR. Q/R/C
Address
1295 SW 29TH AVENU7E POMPANO BEACH FL 33069 US
Phone
957-957-9576
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ID-MTS READER SABLOOD GROUPING CENTRIFUGE AND READERMICRO TYPING SYSTEMS INCKSOMTS9945MTS READER SA*NRN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12004-08-3101. O

Event Narratives#

No narrative records found.