MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-05 for DISPOSABLE SUCTION/IRRIGATOR TIP 250-070-620 manufactured by Stryker Endoscopy.
| Report Number | MW5087916 |
| MDR Report Key | 8768298 |
| Date Received | 2019-07-05 |
| Date of Report | 2019-07-02 |
| Date Added to Maude | 2019-07-08 |
| 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 | DISPOSABLE SUCTION/IRRIGATOR TIP |
| Generic Name | APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED |
| Product Code | GCX |
| Date Received | 2019-07-05 |
| Model Number | 250-070-620 |
| Lot Number | 19087FG2 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | STRYKER ENDOSCOPY |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-05 |