MAUDE MDR 9874402

MDR report key
9874402
Report number
0008031020-2020-00853
Event key
0
Event type
3
Date of event
2001-11-01
Date received
2020-03-24
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. ANNA JUSINSKI
Address
325 CORPORATE DRIVE MAHWAH NJ 07430 US
Phone
201-201-2018
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1UNKNOWN TALAR COMPONENTIMPLANTSTRYKER GMBHNTGUNK_SELUNKNOWNR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-2401. R

Event Narratives#

No narrative records found.