FDA.reportPublic FDA data

MAUDE MDR 9654554

MDR report key
9654554
Report number
8030965-2020-00711
Event key
0
Event type
3
Date of event
2020-01-01
Date received
2020-01-31
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. KARA DITTY-BOVARD
Address
EIMATTSTRASSE 3 OBERDORF 4436 SZ
Phone
610-610-6103
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AIR PEN DRIVEMOTOR, DRILL, PNEUMATICDEPUY SYNTHES PRODUCTS LLCHBB05.001.080Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-310

Event Narratives#

No narrative records found.