MAUDE MDR 9641714

MDR report key
9641714
Report number
1043572-2020-00006
Event key
0
Event type
3
Date received
2020-01-29
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. DANIEL DAVY
Address
5960 HEISLEY ROAD MENTOR OH 44060 US
Phone
440-440-4403
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
13085 SURGICAL TABLESURGICAL TABLESTERIS CORPORATION - MONTGOMERYFQOY Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-290

Event Narratives#

No narrative records found.