MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-05-04 for PACK, ECMO, DISPOSABLE * manufactured by Medtronic.
| Report Number | 2576652 |
| MDR Report Key | 2576652 |
| Date Received | 2012-05-04 |
| Date of Report | 2011-03-25 |
| Date of Event | 2011-03-17 |
| Report Date | 2011-03-25 |
| Date Reported to FDA | 2012-05-04 |
| Date Added to Maude | 2012-05-16 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PACK, ECMO, DISPOSABLE |
| Generic Name | FLOW PROBE |
| Product Code | DPT |
| Date Received | 2012-05-04 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | 10060109 |
| ID Number | * |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDTRONIC |
| Manufacturer Address | 8200 CORAL SEA STREET NE MOUNDS VIEW MN 55112 US 55112 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2012-05-04 |