FDA.reportPublic FDA data

MAUDE MDR 9703912

MDR report key
9703912
Report number
9611053-2020-00010
Event key
0
Event type
3
Date received
2020-02-12
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
MR. KARL NITTINGER
Address
221 W. PHILADELPHIA ST. SUITE 60W YORK, PA US
Phone
849-849-8494
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EDDY IRRIGATION TIPSYRINGE, PERIODONTIC, ENDODONTIC, IRRIGATINGDENTSPLY VDW GMBHEICNAV041441000000300138R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-120

Event Narratives#

No narrative records found.