MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1999-11-19 for manufactured by .
| Report Number | 1926681-1999-00001 |
| MDR Report Key | 251819 |
| Report Source | 06 |
| Date Received | 1999-11-19 |
| Date of Event | 1999-09-21 |
| Date Mfgr Received | 1999-10-21 |
| Date Added to Maude | 1999-12-02 |
| 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 | CRAIG PARKS |
| Manufacturer Street | 5416 JEDMED CT |
| Manufacturer City | ST LOUIS MO 63129 |
| Manufacturer Country | US |
| Manufacturer Postal | 63129 |
| Manufacturer Phone | 3148453770 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | HNW |
| Date Received | 1999-11-19 |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 243887 |
| Baseline Brand Name | CRAWFORD LACRIMAL INTUBATION SET |
| Baseline Generic Name | * |
| Baseline Model No | * |
| Baseline Catalog No | 28-0185 |
| Baseline ID | J-10-1 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1999-11-19 |