MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-15 for AMSORB G-CAN AMAB3801 manufactured by Armstrong Medical, Ltd..
[138908795]
Canisters leaking.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 8424061 |
| MDR Report Key | 8424061 |
| Date Received | 2019-03-15 |
| Date of Report | 2019-03-01 |
| Date of Event | 2018-05-09 |
| Report Date | 2019-03-01 |
| Date Reported to FDA | 2019-03-01 |
| Date Reported to Mfgr | 2019-03-15 |
| Date Added to Maude | 2019-03-15 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| 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 | 3 |
| Brand Name | AMSORB G-CAN |
| Generic Name | ABSORBENT, CARBON-DIOXIDE |
| Product Code | CBL |
| Date Received | 2019-03-15 |
| Catalog Number | AMAB3801 |
| Lot Number | 24071 |
| Device Availability | N |
| Device Age | 1 DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARMSTRONG MEDICAL, LTD. |
| Manufacturer Address | VC/FDA CONSULTING 7549 SPRING LAKE DR. NO. C-2 BETHESDA MD 20817 US 20817 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-03-15 |