FDA.reportPublic FDA data

MAUDE MDR 9806324

MDR report key
9806324
Report number
3004105610-2020-00053
Event key
0
Event type
3
Date of event
2020-02-10
Date received
2020-03-09
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
MRS. DIANA ROGERS
Address
210 CENTENNIAL AVENUE CENTENNIAL PARK, ELSTREE BOREHAMWOOD WD6 3 GB
Phone
208-208-2082
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DISTAL FEMUR MINIMALLY INVASIVE GROWER (MIG) - GRUB SCREWPROSTHESIS, KNEE, FEMOROTIBIAL, CONSTRAINED, CEMENTED, METAL/POLYMERSTANMORE IMPLANTS WORLDWIDEKROUNK_STMPIN 20900R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-0901. O

Event Narratives#

No narrative records found.