MICROSTREAM CS08651-02

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-19 for MICROSTREAM CS08651-02 manufactured by Oridion Medical.

Event Text Entries

[73514326] A good faith effort will be made to obtain the applicable information relevant to the report. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[73514327] Medtronic received a report that the unit did not generate an audible alarm. Customer indicated there was no patient involvement with this event.
Patient Sequence No: 1, Text Type: D, B5


[77951782] The sample associated to this report was received and the customer reported issue could not be duplicated.? We are unable to determine the cause for this specific event however, manufacturing controls are in place to detect damage and to reduce the potential for occurrence during the manufacturing process. Information has been added to the database and trends will continue to be monitored. A good faith effort will be made to obtain the applicable information relevant to the report. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[77951783] Medtronic received a report that the unit was not alarming, they had no audio. Customer indicated there was no patient involvement with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8044004-2017-05002
MDR Report Key6506494
Date Received2017-04-19
Date of Report2017-05-11
Date of Event2017-03-22
Date Mfgr Received2017-05-11
Date Added to Maude2017-04-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSHARON MURPHY
Manufacturer Street15 HAMPSHIRE STREET
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal02048
Manufacturer Phone2034925267
Manufacturer G1ORIDION MEDICAL
Manufacturer Street7 HAMARPEH ST.
Manufacturer CityJERUSALEM 91235
Manufacturer Postal Code91235
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMICROSTREAM
Product CodeMNR
Date Received2017-04-19
Returned To Mfg2017-05-11
Model NumberCS08651-02
Catalog NumberCS08651-02
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerORIDION MEDICAL
Manufacturer Address7 HAMARPEH ST. JERUSALEM 91235 91235


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-19

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