MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2006-10-06 for NONE manufactured by .
[3310033]
.
Patient Sequence No: 1, Text Type: D, B5
[10405455]
The manufacturer has been notified of the reported complaint.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 9611112-2006-00003 |
| MDR Report Key | 2923381 |
| Report Source | 08 |
| Date Received | 2006-10-06 |
| Date Mfgr Received | 2006-09-18 |
| Device Manufacturer Date | 2005-05-01 |
| Date Added to Maude | 2013-01-23 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | BADSTRASSE 8 |
| Manufacturer City | TUTTLINGEN 78532 |
| Manufacturer Country | GM |
| Manufacturer Postal | 78532 |
| Manufacturer Phone | 46194710 |
| Single Use | 3 |
| Remedial Action | RL |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Generic Name | NONE |
| Product Code | KAP |
| Date Received | 2006-10-06 |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2006-10-06 |