FDA.reportPublic FDA data

MAUDE MDR 9643139

MDR report key
9643139
Report number
3007208829-2020-00007
Event key
0
Event type
3
Date of event
2019-12-30
Date received
2020-01-29
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
MR. RICH LAGUNA
Address
699 8TH ST SUITE 600 SAN FRANCISCO CA 94103 US
Phone
415-415-4156
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ZIO XT PATCHZIO PATCHIRHYTHM TECHNOLOGIES, INCDSHN100A102XY R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-2901. R

Event Narratives#

No narrative records found.