FDA.reportPublic FDA data

MAUDE MDR 9908379

MDR report key
9908379
Report number
8031673-2020-00088
Event key
0
Event type
3
Date of event
2020-03-02
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. BERNADETTE OCONNELL
Address
SHIBA-KOEN FIRST BUILDING 3-8-2 SHIBA MINATO-KU, TOKYO 10586 JA
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AIA-900AIA-900TOSOH CORPORATIONKHOAIA-900022930111N Y

Patients#

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

Event Narratives#

No narrative records found.