MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-01 for UMBILI-CLAMP CLW-1004-A01 manufactured by Divergent Medical Technolgies, Llc.
[90780185]
Patient Sequence No: 1, Text Type: N, H10
[90780186]
Umbilical cord infection. Manufacturer response for umbilical cord clamp, umbili-clamp (per site reporter). Awaiting response.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 6993366 |
MDR Report Key | 6993366 |
Date Received | 2017-11-01 |
Date of Report | 2017-09-29 |
Date of Event | 2017-09-27 |
Report Date | 2017-09-29 |
Date Reported to FDA | 2017-09-29 |
Date Reported to Mfgr | 2017-09-29 |
Date Added to Maude | 2017-11-01 |
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 | 3 |
Reporter Occupation | RISK MANAGER |
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 | 3 |
Brand Name | UMBILI-CLAMP |
Generic Name | DEVICE, OCCLUSION, UMBILICAL |
Product Code | FOD |
Date Received | 2017-11-01 |
Catalog Number | CLW-1004-A01 |
Lot Number | 20170510 |
Device Availability | Y |
Device Age | 1 DY |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | DIVERGENT MEDICAL TECHNOLGIES, LLC |
Manufacturer Address | 5 FIR CT STE 1A OAKLAND NJ 07436 US 07436 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2017-11-01 |