MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2003-07-28 for manufactured by .
| Report Number | 9614110-2003-00002 |
| MDR Report Key | 476879 |
| Report Source | 05 |
| Date Received | 2003-07-28 |
| Date Mfgr Received | 2003-07-07 |
| Date Added to Maude | 2003-08-12 |
| 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 | CROWN HOUSE HORNBEAM SQUARE NORTH |
| Manufacturer City | HARROGATE, NORTH YORKSHIRE HG2 8PB |
| Manufacturer Country | UK |
| Manufacturer Postal | HG2 8PB |
| Manufacturer Phone | 702408036 |
| Manufacturer G1 | * |
| Manufacturer Street | * |
| Manufacturer City | * |
| Manufacturer Country | * |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | NEA |
| Date Received | 2003-07-28 |
| Device Eval'ed by Mfgr | R |
| Implant Flag | Y |
| Device Sequence No | 1 |
| Device Event Key | 465684 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2003-07-28 |