MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2000-01-14 for * manufactured by Medx 96 Inc..
| Report Number | 1051095-1999-00002 |
| MDR Report Key | 258743 |
| Report Source | 00 |
| Date Received | 2000-01-14 |
| Date of Event | 1998-06-29 |
| Date Mfgr Received | 1999-12-14 |
| Date Added to Maude | 2000-01-19 |
| 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 Street | 1401 NE 77TH STREET |
| Manufacturer City | OCALA FL 34479 |
| Manufacturer Country | US |
| Manufacturer Postal | 34479 |
| Manufacturer Phone | 3526222112 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | * |
| Generic Name | MEASURING EXERCISE EQUIPMENT |
| Product Code | ISD |
| Date Received | 2000-01-14 |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 250572 |
| Manufacturer | MEDX 96 INC. |
| Manufacturer Address | 1401 N.E. 77TH ST. OCALA FL 34479 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2000-01-14 |