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 |