MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-24 for PDT manufactured by Dusa.
[90201683]
Pdt done incorrectly. Adverse reaction. Told to come for therapy after they verified with medicare they would pay. Did so.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5072913 |
| MDR Report Key | 6971983 |
| Date Received | 2017-10-24 |
| Date of Report | 2017-10-22 |
| Date of Event | 2017-10-19 |
| Date Added to Maude | 2017-10-24 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PDT |
| Generic Name | SYSTEM, LASER, PHOTODYNAMIC THERAPY |
| Product Code | MVF |
| Date Received | 2017-10-24 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | DUSA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2017-10-24 |