FDA.reportPublic FDA data

MAUDE MDR 9712758

MDR report key
9712758
Report number
2032546-2020-00018
Event key
0
Event type
3
Date of event
2020-01-27
Date received
2020-02-14
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
MRS. BRITTANY MASSEY
Address
229 AVENIDA FABRICANTE SAN CLEMENTE CA 92672 US
Phone
949-949-9493
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ISTENT INJECT TRABECULAR MICRO BYPASS SYSTEMINTRAOCULAR PRESSURE LOWERING IMPLANTGLAUKOS CORPORATIONOGOG2-M-IS127150 N
101ACETAMINOPHEN 500MGMANUFACTURE / COMPOUNDER NAME---

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-1401. O

Event Narratives#

No narrative records found.