MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-20 for BASIC MAGNETIC PULL-CORD ALARM 74836 manufactured by Alimed Inc.
| Report Number | 7633544 |
| MDR Report Key | 7633544 |
| Date Received | 2018-06-20 |
| Date of Report | 2018-06-20 |
| Date of Event | 2018-06-08 |
| Date Facility Aware | 2018-06-08 |
| Report Date | 2018-06-20 |
| Date Reported to FDA | 2018-06-20 |
| Date Reported to Mfgr | 2018-06-20 |
| Date Added to Maude | 2018-06-25 |
| 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 |
| 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 | BASIC MAGNETIC PULL-CORD ALARM |
| Generic Name | MAGNETIC ALARM |
| Product Code | KMI |
| Date Received | 2018-06-20 |
| Model Number | 74836 |
| Operator | LAY USER/PATIENT |
| Device Availability | * |
| Device Age | NA |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALIMED INC |
| Manufacturer Address | 297 HIGH STREET DEDHAM MA 02026 US 02026 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 0 | 0 | 1. Death | 2018-06-20 |