FDA.reportPublic FDA data

MAUDE MDR 9872145

MDR report key
9872145
Report number
3004365956-2020-00085
Event key
0
Event type
3
Date of event
2020-03-10
Date received
2020-03-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
VICTORIA SANDLIN
Address
3015 CARRINGTON MILL BLVD MORRISVILLE NC 27560 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HUDSON ADAPTOR,PRESSURE LINECONNECTOR, AIRWAY (EXTENSION)TELEFLEX MEDICALBZA1642NAR Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-240

Event Narratives#

No narrative records found.