MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2001-03-08 for manufactured by .
| Report Number | 1526350-2001-00005 |
| MDR Report Key | 320039 |
| Report Source | 05,06 |
| Date Received | 2001-03-08 |
| Date of Event | 2000-12-21 |
| Date Mfgr Received | 2000-12-27 |
| Device Manufacturer Date | 2000-08-01 |
| Date Added to Maude | 2001-03-14 |
| 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 | PAUL OSORIO |
| Manufacturer Street | 200 W. OHIO AVE |
| Manufacturer City | DOVER OH 44622 |
| Manufacturer Country | US |
| Manufacturer Postal | 44622 |
| Manufacturer Phone | 3303438801 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | DRP |
| Date Received | 2001-03-08 |
| Device Eval'ed by Mfgr | Y |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 309562 |
| Baseline Brand Name | ZIMMER ATS 2000 |
| Baseline Generic Name | AUTOMATIC TOURNIQUET SYSTEM |
| Baseline Model No | * |
| Baseline Catalog No | REF. 60-2000-101 |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2001-03-08 |