MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-11-12 for * 2219 manufactured by Addto Inc..
[153685]
Package contained a strand of human hair. Item is available.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1015121 |
| MDR Report Key | 200769 |
| Date Received | 1998-11-12 |
| Date of Report | 1998-11-09 |
| Date Added to Maude | 1998-12-10 |
| 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 | * |
| Generic Name | CATHETER ADAPTER |
| Product Code | EYI |
| Date Received | 1998-11-12 |
| Model Number | * |
| Catalog Number | 2219 |
| Lot Number | 083 |
| ID Number | NSN 6615BP6134004 |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 195025 |
| Manufacturer | ADDTO INC. |
| Manufacturer Address | 816 N KOSTNER AVE. CHICAGO IL 60651 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1998-11-12 |