SYMMETRY FERRIS-SMITH 53-1160

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-06 for SYMMETRY FERRIS-SMITH 53-1160 manufactured by Symmetry Surgical Inc.

MAUDE Entry Details

Report Number3007208013-2019-00017
MDR Report Key8676419
Date Received2019-06-06
Date of Report2019-05-16
Date of Event2019-02-26
Date Mfgr Received2019-04-18
Date Added to Maude2019-06-06
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 ContactBRANDI MEATH
Manufacturer Street3034 OWEN DRIVE
Manufacturer CityANTIOCH TN 37013
Manufacturer CountryUS
Manufacturer Postal37013
Manufacturer G1SYMMETRY SURGICAL INC
Manufacturer Street3034 OWEN DRIVE
Manufacturer CityANTIOCH TN 37013
Manufacturer CountryUS
Manufacturer Postal Code37013
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSYMMETRY FERRIS-SMITH
Generic NameIVD RONGEUR
Product CodeHAE
Date Received2019-06-06
Catalog Number53-1160
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYMMETRY SURGICAL INC
Manufacturer Address3034 OWEN DRIVE ANTIOCH TN 37013 US 37013


Patients

Patient NumberTreatmentOutcomeDate
10 2019-06-06

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