MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-18 for JAMSHIDI NEEDLE BONE MARROW 16G ADJ LEN DIN1518X manufactured by Carefusion, Inc.
[124350634]
(b)(4) follow up submission will be completed post investigation or if additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10
[124350635]
The seal is open partially on the product pouch.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9680904-2018-00025 |
| MDR Report Key | 7979791 |
| Date Received | 2018-10-18 |
| Date of Report | 2018-11-07 |
| Date of Event | 2018-09-01 |
| Date Mfgr Received | 2018-09-20 |
| Device Manufacturer Date | 2018-05-03 |
| Date Added to Maude | 2018-10-18 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | BDX ANNA WEHRHEIM |
| Manufacturer Street | 75 NORTH FAIRWAY DRIVE |
| Manufacturer City | VERNON HILLS IL 60061 |
| Manufacturer Country | US |
| Manufacturer Postal | 60061 |
| Manufacturer G1 | CAREFUSION, INC |
| Manufacturer Street | ZONA FRANCA LAS AMERICAS |
| Manufacturer City | SANTO DOMINGO |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | JAMSHIDI NEEDLE BONE MARROW 16G ADJ LEN |
| Generic Name | BIOPSY NEEDLES & TRAYS |
| Product Code | FSH |
| Date Received | 2018-10-18 |
| Catalog Number | DIN1518X |
| Lot Number | 0001233035 |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CAREFUSION, INC |
| Manufacturer Address | ZONA FRANCA LAS AMERICAS SANTO DOMINGO |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2018-10-18 |