FDA.reportPublic FDA data

MAUDE MDR 9907753

MDR report key
9907753
Report number
2112667-2020-01111
Event key
0
Event type
3
Date of event
2020-03-06
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
JOHN SZALINSKI
Address
3000 N GRANDVIEW BLVD. WAUKESHA WI US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AISYS CS2ANESTHESIA GAS MACHINEDATEX-OHMEDA, INC.BSZ* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-310

Event Narratives#

No narrative records found.