ENDO CATH II AUTO SUTURE SPECIMEN RETRIEVAL POUCH 15MM 173049

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-11 for ENDO CATH II AUTO SUTURE SPECIMEN RETRIEVAL POUCH 15MM 173049 manufactured by Covidien.

MAUDE Entry Details

Report NumberMW5088053
MDR Report Key8785480
Date Received2019-07-11
Date of Report2019-06-28
Date of Event2019-06-11
Date Added to Maude2019-07-12
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 0

Brand NameENDO CATH II AUTO SUTURE SPECIMEN RETRIEVAL POUCH 15MM
Generic NameCONTAINER, SPECIMEN MAILER AND STORAGE
Product CodeGCI
Date Received2019-07-11
Model Number173049
Lot NumberJ8K1975HY
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No0
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer Address15 HAMPSHIRE ST. MANSFIELD MA 02048 US 02048

Device Sequence Number: 1

Brand NameENDO CATH II AUTO SUTURE SPECIMEN RETRIEVAL POUCH 15MM
Generic NameCONTAINER, SPECIMEN MAILER AND STORAGE
Product CodeKDT
Date Received2019-07-11
Model Number173049
Lot NumberJ8K1975HY
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer Address15 HAMPSHIRE ST. MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
10 2019-07-11

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