AV400 AV 400

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-07-24 for AV400 AV 400 manufactured by Accuvein, Inc..

Event Text Entries

[114837950] This was a malfunction of the accuvein device where the screen had only showed a partial display. We have seen these issues in the past, but the return and replace policy of accuvein has allowed for timely resolution to issues.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7713508
MDR Report Key7713508
Date Received2018-07-24
Date of Report2018-07-20
Date of Event2018-07-11
Report Date2018-07-20
Date Reported to FDA2018-07-20
Date Reported to Mfgr2018-07-24
Date Added to Maude2018-07-24
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAV400
Generic NameDEVICE, VEIN LOCATION, LIQUID CRYSTAL
Product CodeKZA
Date Received2018-07-24
Returned To Mfg2018-07-16
Model NumberAV 400
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Age1 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerACCUVEIN, INC.
Manufacturer Address40 GOOSE HILL ROAD COLD SPRING HARBOR NY 11724 US 11724


Patients

Patient NumberTreatmentOutcomeDate
10 2018-07-24

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