MAUDE MDR 9648190

MDR report key
9648190
Report number
2183870-2020-00031
Event key
0
Event type
3
Date of event
2019-11-05
Date received
2020-01-30
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
TONI O'DOHERTY
Address
PARKMORE BUSINESS PARK WEST GALWAY IE
Phone
91-91-0917
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROTEGE RX CAROTID STENT SYSTEMSTENT, CAROTIDCOVIDIENNIMSECX-10-60-135SECX-10-60-135A724326Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-300

Event Narratives#

No narrative records found.