MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1999-11-23 for 002220-501 manufactured by .
| Report Number | 2124979-1999-00013 |
| MDR Report Key | 251757 |
| Report Source | 06 |
| Date Received | 1999-11-23 |
| Date of Event | 1999-09-21 |
| Date Mfgr Received | 1999-10-25 |
| Device Manufacturer Date | 1991-07-01 |
| Date Added to Maude | 1999-12-01 |
| 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 |
| Manufacturer Contact | CAROLYN DE JONGE |
| Manufacturer Street | 609 BEECHWOOD RD |
| Manufacturer City | WILLOW GROVE PA 19090 |
| Manufacturer Country | US |
| Manufacturer Postal | 19090 |
| Manufacturer Phone | 2156581655 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | HGG |
| Date Received | 1999-11-23 |
| Catalog Number | 002220-501 |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 243821 |
| Baseline Brand Name | BERKLEY VACUUM CURETTAGE SYSTEM |
| Baseline Generic Name | DILATION AND EVACUATION MACHINE |
| Baseline Model No | VC2-115VAC60HZ |
| Baseline Catalog No | NA |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1999-11-23 |