MAQUET 1132.11B2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2006-03-24 for MAQUET 1132.11B2 manufactured by Maquet Gmbh & Co. Kg.

MAUDE Entry Details

Report Number8010652-2006-00002
MDR Report Key692916
Report Source05,06
Date Received2006-03-24
Date of Report2006-02-24
Date of Event2006-01-11
Date Mfgr Received2006-02-24
Date Added to Maude2006-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactLORRY CORDARO
Manufacturer Street1777 E HENRIETTA RD
Manufacturer CityROCHESTER NY 146233133
Manufacturer CountryUS
Manufacturer Postal146233133
Manufacturer Phone5857451400
Manufacturer G1MAQUET GMBH & CO. KG
Manufacturer StreetKEHLER STRASSE 31
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal Code76437
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAQUET
Generic NameOPERATING TABLE
Product CodeFSE
Date Received2006-03-24
Model Number1132.11B2
OperatorHEALTH PROFESSIONAL
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key668729
ManufacturerMAQUET GMBH & CO. KG
Manufacturer AddressKEHLER STRASSE 31 RASTATT GM 76437
Baseline Brand NameMAQUET
Baseline Generic NameOPERATING TABLE
Baseline Model No1132.11B2
Baseline Catalog No*
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
10 2006-03-24

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