FDA.reportPublic FDA data

MAUDE MDR 9795841

MDR report key
9795841
Report number
1000582314-2020-00002
Event key
0
Event type
3
Date of event
2020-02-06
Date received
2020-03-05
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
FRANCES ESTRADA
Address
1700A SOUTH BAKER AVE. ONTARIO, CA US
Phone
570-570-5703
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PHILIPS ZOOMZOOM CHAIRSIDE KITDISCUS DENTAL, LLCEEG88105560154019308006N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-0501. H

Event Narratives#

No narrative records found.