FDA.reportPublic FDA data

MAUDE MDR 9602413

MDR report key
9602413
Report number
1000317571-2020-00001
Event key
0
Event type
3
Date received
2020-01-17
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. JEANETTE JOHNSON
Address
7900 TRIAD CENTER DRIVE SUITE 400 GREENSBORO NC 27409 US
Phone
336-336-3365
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AQUACEL EXTRADRESSING, WOUND, DRUGCONVATEC LTDFRO4206764206769C02505N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-170

Event Narratives#

No narrative records found.