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 |