FDA.reportPublic FDA data

MAUDE MDR 9833008

MDR report key
9833008
Report number
1036212-2020-00002
Event key
0
Event type
3
Date of event
2020-02-07
Date received
2020-03-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. KARL NITTINGER
Address
221 W. PHILADELPHIA ST. SUITE 60W YORK, PA US
Phone
849-849-8494
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1NON LATEX ELASTIC HY (H4) 3/16 BERNBAND, ELASTIC, ORTHODONTICDENTSPLY SIRONA ORTHODONTICS INC.ECINA11-302-0400111424R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-1401. O

Event Narratives#

No narrative records found.