FDA.reportPublic FDA data

MAUDE MDR 9868402

MDR report key
9868402
Report number
3002037047-2020-00009
Event key
0
Event type
3
Date of event
2020-03-13
Date received
2020-03-23
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
MR. JONATHAN SCHLECH
Address
6201 SOUTH FREEWAY MAIL STOP AB2-6 FORT WORTH TX 76134 US
Phone
817-817-8175
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROVISC OPHTHALMIC VISCOSURGICAL DEVICEAID, SURGICAL, VISCOELASTICALCON - COUVREUR N.V./ALCON - BELGIUMLZPNA960569J--001/0ASKUR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-2301. O

Event Narratives#

No narrative records found.