MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2001-06-05 for manufactured by .
| Report Number | 8044101-2001-00001 |
| MDR Report Key | 336338 |
| Report Source | 04 |
| Date Received | 2001-06-05 |
| Date of Event | 2001-05-09 |
| Date Mfgr Received | 2001-05-09 |
| Device Manufacturer Date | 2000-04-01 |
| Date Added to Maude | 2001-06-11 |
| 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 | MARY LEEPER, PHD |
| Manufacturer Street | 875 N MICHIGAN AVE #3660 |
| Manufacturer City | CHICAGO IL 60611 |
| Manufacturer Country | US |
| Manufacturer Postal | 60611 |
| Manufacturer Phone | 3122809917 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | MBU |
| Date Received | 2001-06-05 |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 325642 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2001-06-05 |