MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-03 for BARDEX? MALECOT MODEL DRAIN 086034 manufactured by C. R. Bard, Inc..
| Report Number | 8662376 |
| MDR Report Key | 8662376 |
| Date Received | 2019-06-03 |
| Date of Report | 2019-05-07 |
| Date of Event | 2019-04-27 |
| Report Date | 2019-05-16 |
| Date Reported to FDA | 2019-05-16 |
| Date Reported to Mfgr | 2019-06-03 |
| Date Added to Maude | 2019-06-03 |
| 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 | BARDEX? MALECOT MODEL DRAIN |
| Generic Name | CATHETER, MALECOT |
| Product Code | FEW |
| Date Received | 2019-06-03 |
| Model Number | 086034 |
| Catalog Number | 086034 |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | C. R. BARD, INC. |
| Manufacturer Address | 8195 INDUSTRIAL BLVD. COVINGTON GA 30014 US 30014 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2019-06-03 |