MAUDE MDR 9744713

MDR report key
9744713
Report number
3011649314-2020-00474
Event key
0
Event type
3
Date received
2020-02-24
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. HERBERT SCHOENHOEFER
Address
2212 DUPONT DRIVE SUITE P IRVINE, CA US
Phone
440-440-4402
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COMFORT HARD-SOFT BITE SPLINT?THERMOFORM MOUTHGUARDPRISMATIK DENTALCRAFT, INC.MQCN N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-02-2401. R

Event Narratives#

No narrative records found.