MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2003-08-05 for manufactured by .

MAUDE Entry Details

Report Number2515651-2003-00003
MDR Report Key492608
Report Source06
Date Received2003-08-05
Date of Event2003-06-11
Date Mfgr Received2003-07-14
Device Manufacturer Date1999-04-01
Date Added to Maude2003-11-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA0
Event Location0
Manufacturer ContactBRADLEY SEIDEN MANAGER
Manufacturer Street200 PRECISION RD, SUITE 200
Manufacturer CityHORSHAM PA 19044
Manufacturer CountryUS
Manufacturer Postal19044
Manufacturer Phone2154428892
Manufacturer G1PILLING SURGICAL
Manufacturer Street200 PRECISION RD, SUITE 200
Manufacturer CityHORSHAM PA 19044
Manufacturer CountryUS
Manufacturer Postal Code19044
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeGDM
Date Received2003-08-05
Device Eval'ed by MfgrY
Implant FlagN
Device Sequence No1
Device Event Key481306
Baseline Brand NameASPIRATING NEEDLE
Baseline Generic NameNEEDLE, ASPIRATION & INJECTION, REUSABLE
Baseline Model No50-7453
Baseline Catalog No50-7453
Baseline Shelf Life [Months]NA
Baseline PMA FlagN
Baseline 510K PMNN
Baseline PreamendmentY
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 2003-08-05

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