MAUDE MDR 9577757

MDR report key
9577757
Report number
2432235-2020-00024
Event key
0
Event type
3
Date of event
2019-11-20
Date received
2020-01-10
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. MIR KHAN
Address
511 BENEDICT AVENUE TARRYTOWN NY 10951 US
Phone
914-914-9145
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ADVIA CHEMISTRY LIPASE REAGENT (LIP)ADVIA CHEMISTRY LIPASE REAGENT (LIP)SIEMENS HEALTHCARE DIAGNOSTICS INC.CHIADVIA CHEMISTRY LIPASE (LIP)10311896485700N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-100

Event Narratives#

No narrative records found.