MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-07 for MERIT MEDICAL? 00884450202708 K09-00970U manufactured by Merit Medical Systems, Inc..
| Report Number | 8678633 |
| MDR Report Key | 8678633 |
| Date Received | 2019-06-07 |
| Date of Report | 2019-05-24 |
| Date of Event | 2019-05-23 |
| Report Date | 2019-05-24 |
| Date Reported to FDA | 2019-05-24 |
| Date Reported to Mfgr | 2019-06-07 |
| Date Added to Maude | 2019-06-07 |
| 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 | RISK MANAGER |
| 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 | MERIT MEDICAL? |
| Generic Name | CARDIOVASCULAR PROCEDURE KIT |
| Product Code | OEZ |
| Date Received | 2019-06-07 |
| Returned To Mfg | 2019-05-22 |
| Model Number | 00884450202708 |
| Catalog Number | K09-00970U |
| Lot Number | H1506767 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MERIT MEDICAL SYSTEMS, INC. |
| Manufacturer Address | 1600 WEST MERIT PARKWAY SOUTH JORDAN UT 84095 US 84095 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-06-07 |