BARD-PARKER CARBON RIB-BACK BLADES SIZE 11, STERILE 371111-150

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-07-01 for BARD-PARKER CARBON RIB-BACK BLADES SIZE 11, STERILE 371111-150 manufactured by Aspen Surgical Products, Caledonia.

MAUDE Entry Details

Report Number1836161-2019-00051
MDR Report Key8747890
Report SourceDISTRIBUTOR
Date Received2019-07-01
Date of Report2019-06-04
Date of Event2019-05-22
Date Mfgr Received2019-06-04
Device Manufacturer Date2018-11-01
Date Added to Maude2019-07-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JORDAN HACKERT
Manufacturer Street6945 SOUTHBELT DR. S.E.
Manufacturer CityCALEDONIA MI 49316
Manufacturer CountryUS
Manufacturer Postal49316
Manufacturer Phone6165367508
Manufacturer G1SAME AS ABOVE
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBARD-PARKER CARBON RIB-BACK BLADES SIZE 11, STERILE
Generic NameBARD-PARKER BLADE
Product CodeGES
Date Received2019-07-01
Model Number371111-150
Lot Number0178363
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerASPEN SURGICAL PRODUCTS, CALEDONIA
Manufacturer Address6945 SOUTHBELT DR. S.E. CALEDONIA MI 49316 US 49316


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2019-07-01

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