MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-05 for NEOCONNECT FTM6.5S-NC manufactured by Neomed, Inc..
| Report Number | 8764006 |
| MDR Report Key | 8764006 |
| Date Received | 2019-07-05 |
| Date of Report | 2019-06-18 |
| Date of Event | 2019-06-02 |
| Report Date | 2019-06-28 |
| Date Reported to FDA | 2019-06-28 |
| Date Reported to Mfgr | 2019-07-05 |
| Date Added to Maude | 2019-07-05 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| 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 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NEOCONNECT |
| Generic Name | TUBING, FEEDING |
| Product Code | FPD |
| Date Received | 2019-07-05 |
| Catalog Number | FTM6.5S-NC |
| Lot Number | 20160711 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 1 DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | NEOMED, INC. |
| Manufacturer Address | 100 LONDONDERRY CT SUITE 112 WOODSTOCK GA 30188 US 30188 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-05 |