FDA.reportPublic FDA data

MAUDE MDR 9775347

MDR report key
9775347
Report number
0001526350-2020-00241
Event key
0
Event type
3
Date of event
2020-02-07
Date received
2020-03-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. CHRISTINA ARNT
Address
56 E. BELL DRIVE WARSAW IN 46582 US
Phone
574-574-5745
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MESHGRAFT II INSTRUMENT ONLYEXPANDER, SURGICAL, SKIN GRAFTZIMMER SURGICAL, INC.FZW00219500100N/AN R

Patients#

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

Event Narratives#

No narrative records found.