MAUDE MDR 9682104

MDR report key
9682104
Report number
2320721-2020-00005
Event key
0
Event type
3
Date received
2020-02-07
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
116
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. KARL NITTINGER
Address
221 W. PHILADELPHIA ST. SUITE 60W YORK PA 17401 US
Phone
717-717-7178
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROULTRA ENDO TIP #5SCALER, ULTRASONICTULSA DENTAL PRODUCTS LLCELCNAPUENDO50000240341N Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-070

Event Narratives#

No narrative records found.