FDA.reportPublic FDA data

MAUDE MDR 9846068

MDR report key
9846068
Report number
9680904-2020-00005
Event key
0
Event type
3
Date of event
2020-02-12
Date received
2020-03-17
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
BDX ANNA WEHRHEIM
Address
75 N. FAIRVIEW DRIVE VERNON HILLS IL 60061 US
Phone
801-801-8015
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PLEURX LOCKABLE DRAINAGE LINE SETAPPARATUS, SUCTION, PATIENT CARECAREFUSION, INCDWM50-72450001272327R *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-1701. O

Event Narratives#

No narrative records found.