AGS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-03-14 for AGS manufactured by Getinge Disinfection Ab.

Event Text Entries

[138795829] (b)(4). We are aware that this is past the 30 day deadline for reporting. We have reminded the complaint handler to review fda reporting guidelines in order to prevent this from happening again. The issue is still being investigated by manufacturing site.
Patient Sequence No: 1, Text Type: N, H10


[138795830] On (b)(6)2018 we became aware of an issue with ags- loading equipment outside machine which was used together with 8666 washer disinfector. As it was stated, the end stop was jammed intermittently which nearly caused the wash cart to fall over. There was no injury reported however we decided to report the issue based on the potential as falling cart may lead to an adverse event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9616031-2019-00007
MDR Report Key8420367
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-03-14
Date of Report2019-05-27
Date Facility Aware2018-09-12
Report Date2019-05-02
Date Reported to FDA2019-05-02
Date Mfgr Received2018-09-12
Device Manufacturer Date2007-06-21
Date Added to Maude2019-03-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR DENNIS GENITO
Manufacturer Street45 BARBOUR POND DRIVE
Manufacturer CityWAYNE NJ 07470
Manufacturer CountryUS
Manufacturer Postal07470
Manufacturer Phone9737097515
Manufacturer G1GETINGE DISINFECTION AB
Manufacturer StreetLJUNGADALSGATAN 11 VAXJO KRONOBERGS IAN [SE-07]
Manufacturer CityVAXJO, 35115
Manufacturer CountrySW
Manufacturer Postal Code35115
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAGS
Generic NameAGS
Product CodePEC
Date Received2019-03-14
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerGETINGE DISINFECTION AB
Manufacturer AddressLJUNGADALSGATAN 11 VAXJO KRONOBERGS IAN [SE-07] VAXJO, 35115 SW 35115


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-14

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