IMPLANT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-29 for IMPLANT manufactured by Proximate Concepts Llc.

MAUDE Entry Details

Report NumberMW5088547
MDR Report Key8843446
Date Received2019-07-29
Date of Report2019-07-29
Date of Event2018-06-08
Date Added to Maude2019-07-30
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 NameIMPLANT
Generic NameKIT, SURGICAL, DISPOSABLE
Product CodeKDD
Date Received2019-07-29
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPROXIMATE CONCEPTS LLC

Device Sequence Number: 2

Brand NameIMPLANT
Generic NameKIT, SURGICAL, DISPOSABLE
Product CodeKDD
Date Received2019-07-29
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerPROXIMATE CONCEPTS LLC

Device Sequence Number: 3

Brand NameIMPLANT
Generic NameKIT, SURGICAL, DISPOSABLE
Product CodeKDD
Date Received2019-07-29
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No3
Device Event Key0
ManufacturerPROXIMATE CONCEPTS LLC

Device Sequence Number: 4

Brand NameIMPLANT
Generic NameKIT, SURGICAL, DISPOSABLE
Product CodeKDD
Date Received2019-07-29
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No4
Device Event Key0
ManufacturerPROXIMATE CONCEPTS LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-07-29

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