MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 1998-03-05 for MEDTRONIC 3982 manufactured by .
Report Number | 2182207-1998-00046 |
MDR Report Key | 154615 |
Report Source | 05 |
Date Received | 1998-03-05 |
Date of Event | 1998-02-09 |
Date Mfgr Received | 1998-02-13 |
Date Added to Maude | 1998-03-10 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 0 |
Product Problem Flag | 0 |
Reprocessed and Reused Flag | 0 |
Health Professional | 0 |
Initial Report to FDA | 0 |
Report to FDA | 0 |
Event Location | 0 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MEDTRONIC |
Product Code | LHG |
Date Received | 1998-03-05 |
Model Number | 3982 |
Device Eval'ed by Mfgr | R |
Implant Flag | Y |
Device Sequence No | 1 |
Device Event Key | 150618 |
Baseline Brand Name | SYMMIX |
Baseline Generic Name | SURGICAL EPIDURAL LEAD |
Baseline Model No | 3982 |
Baseline Catalog No | NA |
Baseline ID | NA |
Baseline Device Family | STIM SYMMIX LEAD |
Baseline Shelf Life Contained | Y |
Baseline Shelf Life [Months] | 48 |
Baseline PMA Flag | N |
Baseline 510K PMN | Y |
Premarket Notification | K913934 |
Baseline Preamendment | N |
Baseline Transitional | N |
510k Exempt | N |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1998-03-05 |