FDA.reportPublic FDA data

MAUDE MDR 9774999

MDR report key
9774999
Report number
3005099803-2020-00560
Event key
0
Event type
3
Date of event
2019-12-11
Date received
2020-03-02
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
CAROLE MORLEY
Address
00 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 US
Phone
508-508-5086
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CRE FIXED WIREDILATOR, ESOPHAGEALBOSTON SCIENTIFIC CORPORATIONKNQM0055833058330023518785Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-020

Event Narratives#

No narrative records found.