MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-10 for ADHERUS AUTOSPRAY NUS-106 manufactured by Hyperbranch Medical Technology, Inc.
| Report Number | 0008010177-2019-00033 |
| MDR Report Key | 8684750 |
| Date Received | 2019-06-10 |
| Date of Report | 2019-06-10 |
| Date of Event | 2019-05-14 |
| Date Mfgr Received | 2019-05-14 |
| Date Added to Maude | 2019-06-10 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. RYLEE KOOLE |
| Manufacturer Street | BOETZINGERSTR. 41 |
| Manufacturer City | FREIBURG D-79111 |
| Manufacturer Postal | D-79111 |
| Manufacturer Phone | 76145120 |
| Manufacturer G1 | HYPERBRANCH MEDICAL TECHNOLOGY, INC |
| Manufacturer Street | 800-12 CAPITOLA DRIVE |
| Manufacturer City | DURHAM NC 27713 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 27713 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | ADHERUS AUTOSPRAY |
| Generic Name | IMPLANT |
| Product Code | NQR |
| Date Received | 2019-06-10 |
| Catalog Number | NUS-106 |
| Lot Number | UNKNOWN |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | HYPERBRANCH MEDICAL TECHNOLOGY, INC |
| Manufacturer Address | 800-12 CAPITOLA DRIVE DURHAM NC 27713 US 27713 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-06-10 |