MAUDE MDR 9570075

MDR report key
9570075
Report number
3007305485-2019-00453
Event key
0
Event type
3
Date received
2020-01-09
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MELANIE LANNON
Address
11311 CONCEPT BOULEVARD LARGO, FL FL 33773 US
Phone
727-727-7273
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
13/16"X12' SURGICAL TUBINGSURGICAL TUBINGCONSOLIDATED MEDICAL EQUIPMENTBYY0036560201902085Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-090

Event Narratives#

No narrative records found.