FDA.reportPublic FDA data

MAUDE MDR 9660562

MDR report key
9660562
Report number
1917413-2020-00066
Event key
0
Event type
3
Date of event
2020-01-08
Date received
2020-02-03
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
BDX BRETT WILKO
Address
9450 SOUTH STATE STREET SANDY UT 84070 US
Phone
801-801-8015
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BD VACUTAINER? URINALYSIS TRANSFER STRAW KITSPECIMEN TRANSPORT AND STORAGE CONTAINERBECTON, DICKINSON & CO. (BROKEN BOW)KDT3649439058525N R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-0301. O

Event Narratives#

No narrative records found.