MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-03-01 for ARTERIOVENOUS GRAFT UNKNOWN manufactured by Unknown.
[15674674]
Pt had excision of left arm vein and arteriovenous graft from left arm for thrombosis/acute inflammation.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1000945 |
| MDR Report Key | 11826 |
| Date Received | 1994-03-01 |
| Date of Report | 1994-02-01 |
| Date of Event | 1993-01-04 |
| Date Added to Maude | 1994-03-04 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ARTERIOVENOUS GRAFT |
| Product Code | FIQ |
| Date Received | 1994-03-01 |
| Catalog Number | UNKNOWN |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Implant Flag | Y |
| Date Removed | V |
| Device Sequence No | 1 |
| Device Event Key | 11826 |
| Manufacturer | UNKNOWN |
| Manufacturer Address | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 1994-03-01 |