FDA.reportPublic FDA data

MAUDE MDR 9817406

MDR report key
9817406
Report number
3002806535-2020-00137
Event key
0
Event type
3
Date of event
2020-02-13
Date received
2020-03-11
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
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
1OXF ANAT BRG LT X-SM SZ 5 PMAKNEE PROTHESISBIOMET UK LTD.NRAN/A159792352080R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-1101. H; 2. R

Event Narratives#

No narrative records found.