FDA.reportPublic FDA data

MAUDE MDR 9859515

MDR report key
9859515
Report number
3016438761-2020-00005
Event key
0
Event type
3
Date of event
2020-02-29
Date received
2020-03-20
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
CHRISTIAN LEE
Address
100 ABBOTT PARK ROAD DEPT 09B9, BLDG CP01-3 ABBOTT PARK IL 60064 US
Phone
224-224-2246
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CALCIUMCALCIUMABBOTT LABORATORIES (IRVING IA/CC)CJY3L79-2103L79-2107310UN19Y N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-200

Event Narratives#

No narrative records found.