MAUDE MDR 9599299

MDR report key
9599299
Report number
2032600-2020-00001
Event key
0
Event type
3
Date of event
2019-12-11
Date received
2020-01-16
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS AMANDA DOE
Address
10808 WILLOW COURT SAN DIEGO, CA CA 92127 US
Phone
858-858-8582
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROCLEIX ULTRIO ELITE ASSAYHIV-1/HIV-2/HCV/HBV DEVICEGRIFOLS DIAGNOSTICS SOLUTIONS INC.MZF701444* N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-1601. O

Event Narratives#

No narrative records found.