MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2005-06-22 for manufactured by .

MAUDE Entry Details

Report Number9614385-2005-00067
MDR Report Key617007
Report Source08
Date Received2005-06-22
Date Mfgr Received2005-05-11
Device Manufacturer Date1999-10-01
Date Added to Maude2005-06-28
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 Street127 DEERDYKES VIEW WESTFIELD IND ESTATE
Manufacturer CityCUMBERNAULD, SCOTLAND G68 9HN
Manufacturer Country*
Manufacturer PostalG68 9HN
Manufacturer Phone36780780
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeFWN
Date Received2005-06-22
Device Eval'ed by MfgrY
Implant FlagN
Device Sequence No1
Device Event Key592434
Baseline Brand NameHUTCHISON
Baseline Generic NameSALINE BREAST IMPLANT
Baseline Model NoSMOOTH,LOW
Baseline Catalog NoHSL-0340
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
10 2005-06-22

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