KARL STORZ 27033 17114-000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-01 for KARL STORZ 27033 17114-000 manufactured by .

MAUDE Entry Details

Report Number8770942
MDR Report Key8770942
Date Received2019-07-01
Date of Report2019-06-28
Date of Event2019-06-11
Date Facility Aware2019-06-11
Report Date2019-06-11
Date Reported to FDA2019-06-24
Date Reported to Mfgr2019-06-28
Date Added to Maude2019-07-09
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameKARL STORZ
Generic NameTHIN PEDI SYSTEM
Product CodeFBO
Date Received2019-07-01
Model Number27033
Catalog Number17114-000
Lot NumberSTZPDICYS-000
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
Manufacturer Address1 S. LOS CARNEROS ROAD GOLETA CA 93117 US 93117


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2019-07-01

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