002220-501

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 1999-11-23 for 002220-501 manufactured by .

MAUDE Entry Details

Report Number2124979-1999-00013
MDR Report Key251757
Report Source06
Date Received1999-11-23
Date of Event1999-09-21
Date Mfgr Received1999-10-25
Device Manufacturer Date1991-07-01
Date Added to Maude1999-12-01
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
Manufacturer ContactCAROLYN DE JONGE
Manufacturer Street609 BEECHWOOD RD
Manufacturer CityWILLOW GROVE PA 19090
Manufacturer CountryUS
Manufacturer Postal19090
Manufacturer Phone2156581655
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeHGG
Date Received1999-11-23
Catalog Number002220-501
Device Eval'ed by MfgrR
Implant FlagN
Device Sequence No1
Device Event Key243821
Baseline Brand NameBERKLEY VACUUM CURETTAGE SYSTEM
Baseline Generic NameDILATION AND EVACUATION MACHINE
Baseline Model NoVC2-115VAC60HZ
Baseline Catalog NoNA
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 1999-11-23

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