FDA.reportPublic FDA data

MAUDE MDR 9835019

MDR report key
9835019
Report number
1625507-2020-00032
Event key
0
Event type
3
Date of event
2020-02-14
Date received
2020-03-16
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
STACY RUEMPING
Address
4620 NORTH BEACH STREET FT. WORTH TX 76137 US
Phone
763-763-7635
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1MIDAS REX? LEGEND FOOTED ATTACHMENTMOTOR, DRILL, PNEUMATICMDT POWERED SURGICAL SOLUTIONSHBBAF02AF02Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-160

Event Narratives#

No narrative records found.