MECTA CORPORATION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2019-03-22 for MECTA CORPORATION manufactured by .

Event Text Entries

[139610729] The report mw 5067590 was dated (b)(6) 2018 but referenced the event date as (b)(6) 2010. The report listed references to articles written over the years that had the mecta spectrum 5000q as the primary medical device. This is not manufactured by somatics. There was a mention of an article written in 1999 that referred to a thymatron dgx which was made by somatics. This report does not provide any contact information for the patients mentioned in the articles, no information for the treating physician, facility, laboratory results or any objective information. The primary focus of the report was the mecta medical device, which is not manufactured by somatics. At the time of this report in january 2018, the company determined that the reported events in the mw 5067590 were not related to somatics and there was no way to follow-up with any complainant. The company is now submitting this report to the fda in an abundance of caution and to ensure full compliance with 21 cfr part 803. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[139610730] This report, mw 5067590 was sent to reference articles written many years earlier that described mecta spectrum units, not manufactured by somatics. It also mentioned an article from 1999 about a thymatron dgx device made by somatics. The event date was listed as (b)(6) 2010 but the report was dated (b)(6) 2017. There was no information about any complainants, physicians, hospital, laboratories, just references to previous articles.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1420295-2019-00004
MDR Report Key8445246
Report SourceCOMPANY REPRESENTATIVE
Date Received2019-03-22
Date of Report2019-03-22
Date of Event2010-01-01
Date Mfgr Received2018-01-02
Date Added to Maude2019-03-22
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 ContactDAVID MIRKOVICH
Manufacturer StreetSUITE 101 720 COMMERCE DRIVE
Manufacturer CityVENICE FL 34292
Manufacturer CountryUS
Manufacturer Postal34292
Manufacturer Phone8006426761
Manufacturer G1SOMATICS, LLC
Manufacturer StreetSUITE 101 720 COMMERCE DRIVE
Manufacturer CityVENICE FL 34292
Manufacturer CountryUS
Manufacturer Postal Code34292
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMECTA CORPORATION
Generic NameMECTA SPECTRUM 5000 Q AND FROM 1999 THYMATRON DGX
Product CodeGXC
Date Received2019-03-22
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-03-22

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