MECTA ECT INSTRUMENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-18 for MECTA ECT INSTRUMENT manufactured by Mecta Corporation.

Event Text Entries

[139112225] Basically, there was no supportive information of any kind to the claim. The device listed was not a product of somatics. The complainant did not respond to questions sent and delivered to the submitted address. [mw5081540].
Patient Sequence No: 1, Text Type: N, H10


[139112226] On (b)(6) 2019 there was an anonymous report filled to the medwatch maude section. It claimed many adverse events produced over a long period of time. It referenced mecta corporation and the mecta device as the manufacture, but it also listed somatics on the report, even though the somatics medical device was not listed. See the maude report dated (b)(6) 2018 for more details.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1420295-2019-00001
MDR Report Key8429639
Date Received2019-03-18
Date of Report2019-03-18
Date of Event2018-11-17
Date Facility Aware2018-12-11
Report Date2018-11-17
Date Reported to FDA2018-11-17
Date Reported to Mfgr2018-12-11
Date Mfgr Received2018-12-11
Date Added to Maude2019-03-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. DAVID MIRKOVICH
Manufacturer Street720 COMMERCE DRIVE SUITE 101
Manufacturer CityVENICE FL 34292
Manufacturer CountryUS
Manufacturer Postal34292
Manufacturer Phone8472346761
Single Use3
Previous Use Code3
Removal Correction NumberMW5081540
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameMECTA ECT INSTRUMENT
Generic NameMECTA
Product CodeGXC
Date Received2019-03-18
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No0
Device Event Key0
ManufacturerMECTA CORPORATION
Manufacturer Address19799 SW 95TH AVENUE TUALATIN OR 97062 US 97062

Device Sequence Number: 1

Brand NameMECTA ECT INSTRUMENT
Generic NameMECTA
Product CodeGXC
Date Received2019-03-18
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMECTA CORPORATION
Manufacturer Address19799 SW 95TH AVENUE TUALATIN OR 97062 US 97062


Patients

Patient NumberTreatmentOutcomeDate
10 2019-03-18

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