FDA.reportPublic FDA data

MAUDE MDR 9896320

MDR report key
9896320
Report number
3012279212-2020-00004
Event key
0
Event type
3
Date of event
2020-02-28
Date received
2020-03-30
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
BRIAN YOUNG
Address
229 NORTH MAIN STREET BOERNE, TX US
Phone
340-340-3400
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ER-REBOA CATHETERCATHETER, INTRAVASCULAR OCCLUDING, TEMPORARYPRYTIME MEDICAL DEVICES, INC.MJNER-REBOAER7232AR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-3001. R

Event Narratives#

No narrative records found.