MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-30 for * manufactured by Ohmeda Medical.
| Report Number | 4973094 |
| MDR Report Key | 4973094 |
| Date Received | 2015-06-30 |
| Date of Report | 2015-06-30 |
| Date of Event | 2015-05-05 |
| Report Date | 2015-06-30 |
| Date Reported to FDA | 2015-06-30 |
| Date Reported to Mfgr | 2015-08-05 |
| Date Added to Maude | 2015-08-05 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | * |
| Generic Name | TRANSILLUMINATOR, AC-POWERED |
| Product Code | HJM |
| Date Received | 2015-06-30 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | GDPUM0202 |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | OHMEDA MEDICAL |
| Manufacturer Address | 8880 GORMAN RD. LAUREL MD 20723 US 20723 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2015-06-30 |