MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-07-02 for SATELITE ARD568217113A - SUSPENSION ARD568217113A manufactured by Maquet Sas.
| Report Number | 9710055-2019-00210 |
| MDR Report Key | 8752231 |
| Report Source | COMPANY REPRESENTATIVE,FOREIG |
| Date Received | 2019-07-02 |
| Date of Report | 2019-11-29 |
| Date of Event | 2019-06-28 |
| Date Mfgr Received | 2019-06-28 |
| Device Manufacturer Date | 2018-01-11 |
| Date Added to Maude | 2019-07-02 |
| 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. PASCAL JAY |
| Manufacturer Street | PARC DE LIMERE AVENUE DE LA POMME DE PIN |
| Manufacturer City | ARDON |
| Manufacturer Country | US |
| Manufacturer Phone | 0332382587 |
| Manufacturer G1 | MAQUET SAS |
| Manufacturer Street | PARC DE LIMERE AVENUE DE LA POMME DE PIN |
| Manufacturer City | ARDON |
| Manufacturer Country | US |
| Single Use | 3 |
| Remedial Action | NO |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SATELITE |
| Generic Name | HOLDER, CAMERA, SURGICAL |
| Product Code | FXR |
| Date Received | 2019-07-02 |
| Model Number | ARD568217113A - SUSPENSION |
| Catalog Number | ARD568217113A |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MAQUET SAS |
| Manufacturer Address | PARC DE LIMERE AVENUE DE LA POMME DE PIN ARDON US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-02 |