HEMOBLAST BELLOWS BQF02 BQF02-US

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-07-11 for HEMOBLAST BELLOWS BQF02 BQF02-US manufactured by Biom'up Sa.

MAUDE Entry Details

Report Number3007702492-2019-00001
MDR Report Key8781502
Report SourceHEALTH PROFESSIONAL
Date Received2019-07-11
Date of Report2019-05-15
Date of Event2019-02-27
Date Mfgr Received2019-03-11
Date Added to Maude2019-07-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMR TOM MAGUIRE
Manufacturer Street8 ALLEE IRENE JOLIOT CURIE
Manufacturer CitySAINT-PRIEST, RHONE 69800
Manufacturer CountryFR
Manufacturer Postal69800
Manufacturer G1BIOM'UP SA
Manufacturer Street8 ALLEE IRENE JOLIOT CURIE
Manufacturer CitySAINT-PRIEST, 69800
Manufacturer CountryFR
Manufacturer Postal Code69800
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEMOBLAST BELLOWS
Generic NameHEMOSTATIC AGENT
Product CodePMX
Date Received2019-07-11
Model NumberBQF02
Catalog NumberBQF02-US
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOM'UP SA
Manufacturer Address8 ALLEE IRENE JOLIOT CURIE SAINT-PRIEST, RHONE 69800 FR 69800


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-07-11

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