MAUDE MDR 9908775

MDR report key
9908775
Report number
2031527-2020-00119
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
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. EMILE PINSONNEAULT
Address
2 MUSICK , IRVINE CA 92618 US
Phone
800-800-8009
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1AFXBIFURCATED STENT GRAFTENDOLOGIXMIHBA25-90/I16-30W11-5852-014R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-3101. O

Event Narratives#

No narrative records found.