MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1998-12-16 for manufactured by .

MAUDE Entry Details

Report Number2939576-1998-00009
MDR Report Key201952
Report Source06
Date Received1998-12-16
Date of Event1998-02-10
Date Mfgr Received1998-10-26
Device Manufacturer Date1997-06-01
Date Added to Maude1998-12-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA0
Event Location0
Single Use3
Remedial ActionNO
Previous Use Code3
Removal Correction NumberRECALL #Z-491-8
Event Type3
Type of Report3

Device Details

Product CodeFLF
Date Received1998-12-16
Device Eval'ed by MfgrN
Implant FlagN
Device Sequence No1
Device Event Key196157
Baseline Brand NamePLAZLYTE STERILIZER
Baseline Generic NameGAS STERILIZER
Baseline Model NoABT 1.0
Baseline Catalog NoPL006-01-02
Baseline ID*
Baseline Shelf Life [Months]NA
Baseline PMA FlagN
Baseline 510K PMNY
Premarket NotificationK905119
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 1998-12-16

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