MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-26 for CAPSAICIN PATCH manufactured by Veridian Healthcare.
| Report Number | MW5087660 |
| MDR Report Key | 8739934 |
| Date Received | 2019-06-26 |
| Date of Report | 2019-06-23 |
| Date of Event | 2018-02-17 |
| Date Added to Maude | 2019-06-27 |
| 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 | PATIENT |
| 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 | CAPSAICIN PATCH |
| Generic Name | BANDAGE, ELASTIC |
| Product Code | FQM |
| Date Received | 2019-06-26 |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | VERIDIAN HEALTHCARE |
| Manufacturer Address | 1175 LAKESIDE DRIVE GURNEE IL 60031 US 60031 |
| Brand Name | CAPSAICIN PATCH |
| Generic Name | BANDAGE, ELASTIC |
| Product Code | FQM |
| Date Received | 2019-06-26 |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 2 |
| Device Event Key | 0 |
| Manufacturer | VERIDIAN HEALTHCARE |
| Manufacturer Address | 1175 LAKESIDE DRIVE GURNEE IL 60031 US 60031 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-06-26 |