MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2001-05-14 for manufactured by .
Report Number | 2250051-2001-00753 |
MDR Report Key | 333801 |
Report Source | 05 |
Date Received | 2001-05-14 |
Date of Event | 2001-04-23 |
Date Mfgr Received | 2001-04-23 |
Date Added to Maude | 2001-05-22 |
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 | JOSEPH CHEUNG |
Manufacturer Street | 1001 US HWY 202 |
Manufacturer City | RARITAN NJ 08869 |
Manufacturer Country | US |
Manufacturer Postal | 08869 |
Manufacturer Phone | 9087043801 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Remedial Action | OT |
Previous Use Code | 3 |
Removal Correction Number | NA |
Event Type | 3 |
Type of Report | 3 |
Product Code | LRH |
Date Received | 2001-05-14 |
Device Eval'ed by Mfgr | N |
Implant Flag | N |
Device Sequence No | 1 |
Device Event Key | 323156 |
Baseline Brand Name | ORTHO ELISA BAR CODE READER II |
Baseline Generic Name | BAR CODE READER |
Baseline Model No | 9720C01, D01, E |
Baseline Catalog No | 935240 |
Baseline ID | NA |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2001-05-14 |