FDA.reportPublic FDA data

MAUDE MDR 9908127

MDR report key
9908127
Report number
3005075853-2020-01876
Event key
0
Event type
3
Date of event
2020-01-22
Date received
2020-03-31
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
MS. KARA DITTY-BOVARD
Address
475 CALLE C GUAYNABO 00969 *
Phone
610-610-6107
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HARMONIC LAP 5MM SHEAR 36CMINSTRUMENT, ULTRASONIC SURGICALETHICON ENDO-SURGERY, LLC.LFLHAR36HAR36R9589HY R

Patients#

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

Event Narratives#

No narrative records found.