AVMID CATARACT SURGERY KITS VAOR023-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-08 for AVMID CATARACT SURGERY KITS VAOR023-01 manufactured by Avid Medical Inc. , A Medical Action Ind. Company 305.

MAUDE Entry Details

Report NumberMW5087952
MDR Report Key8772538
Date Received2019-07-08
Date of Report2019-07-03
Date of Event2019-07-03
Date Added to Maude2019-07-09
Event Key0
Report Source CodeVoluntary 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 Sequence Number: 1

Brand NameAVMID CATARACT SURGERY KITS
Generic NameEYE TRAY
Product CodeOJK
Date Received2019-07-08
Returned To Mfg2019-07-03
Catalog NumberVAOR023-01
Lot Number1359022
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerAVID MEDICAL INC. , A MEDICAL ACTION IND. COMPANY 305
Manufacturer AddressTOANA WV 23168 US 23168

Device Sequence Number: 2

Brand NameAVMID CATARACT SURGERY KITS
Generic NameEYE TRAY
Product CodeOJK
Date Received2019-07-08
Catalog NumberVAOR023-01
Lot Number1347080
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerAVID MEDICAL INC. , A MEDICAL ACTION IND. COMPANY 305
Manufacturer AddressTOANA WV 23168 US 23168

Device Sequence Number: 3

Brand NameAVMID CATARACT SURGERY KITS
Generic NameEYE TRAY
Product CodeOJK
Date Received2019-07-08
Catalog NumberVAOR023-01
Lot Number1346040
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No3
Device Event Key0
ManufacturerAVID MEDICAL INC. , A MEDICAL ACTION IND. COMPANY 305
Manufacturer AddressTOANA WV 23168 US 23168

Device Sequence Number: 4

Brand NameAVMID CATARACT SURGERY KITS
Generic NameEYE TRAY
Product CodeOJK
Date Received2019-07-08
Catalog NumberVAOR023-01
Lot Number13344
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No4
Device Event Key0
ManufacturerAVID MEDICAL INC. , A MEDICAL ACTION IND. COMPANY 305
Manufacturer AddressTOANA WV 23168 US 23168


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-07-08

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