MAUDE MDR 9734564

MDR report key
9734564
Report number
9610617-2020-00024
Event key
0
Event type
3
Date received
2020-02-20
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
MRS. SUSIE CHEN
Address
2151 E. GRAND AVENUE EL SEGUNDO, CA US
Phone
218-218-2188
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1INNER SHEATH WITH CERAMIC BEAKINNER SHEATH WITH CERAMIC BEAKKARL STORZ SE & CO. KGFBO27050CA27050CANQ05Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-2001. R

Event Narratives#

No narrative records found.