MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-18 for REGARD BOWL GUIDEWIRE HT0951 manufactured by Roi Consolidated Service Center (csc).
Report Number | MW5087487 |
MDR Report Key | 8717350 |
Date Received | 2019-06-18 |
Date of Report | 2019-06-14 |
Date of Event | 2019-06-11 |
Date Added to Maude | 2019-06-20 |
Event Key | 0 |
Report Source Code | Voluntary 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 | 0 |
Brand Name | REGARD BOWL GUIDEWIRE |
Generic Name | CARDIAC CATHTERIZATION KIT |
Product Code | OES |
Date Received | 2019-06-18 |
Model Number | HT0951 |
Lot Number | 67666B |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ROI CONSOLIDATED SERVICE CENTER (CSC) |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-06-18 |