FDA.reportPublic FDA data

MAUDE MDR 9813306

MDR report key
9813306
Report number
0009613350-2020-00105
Event key
0
Event type
3
Date of event
2019-08-23
Date received
2020-03-10
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
MS. CHRISTINA ARNT
Address
56 E. BELL DR. WARSAW IN 46582 US
Phone
574-574-5745
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DUROMN/AZIMMER GMBHKXAN/AUNKNOWNUNKNOWNR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-1001. H; 2. R

Event Narratives#

No narrative records found.