MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2007-01-15 for manufactured by .

Event Text Entries

[7818368] The hosp is not sure if it was even a stryker device used during the procedure. No device will be returned.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2936485-2007-00003
MDR Report Key809898
Report Source06
Date Received2007-01-15
Date Mfgr Received2006-12-21
Date Added to Maude2007-01-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag0
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location0
Manufacturer ContactBETH ONDERLINDE
Manufacturer Street5900 OPTICAL COURT
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal95138
Manufacturer Phone4087542000
Manufacturer G1STRYKER ENDOSCOPY SAN JOSE
Manufacturer Street5900 OPTICAL COURT
Manufacturer CitySAN JOSE CA 95138
Manufacturer CountryUS
Manufacturer Postal Code95138
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Product CodeFFZ
Date Received2007-01-15
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key797391


Patients

Patient NumberTreatmentOutcomeDate
10 2007-01-15

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