GW ZIPWIRE STIFF .035 X 150 UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-31 for GW ZIPWIRE STIFF .035 X 150 UNK manufactured by Boston Scientific.

MAUDE Entry Details

Report Number8691233
MDR Report Key8691233
Date Received2019-05-31
Date of Report2019-05-29
Date of Event2019-05-20
Date Facility Aware2019-05-20
Report Date2019-05-29
Date Added to Maude2019-06-12
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGW ZIPWIRE STIFF .035 X 150
Generic NameGW ZIPWIRE STIFF .035 X 150
Product CodeOFC
Date Received2019-05-31
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-05-31

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