MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2019-07-30 for SSCOR QUICKDRAW 2403 manufactured by Sscor Inc..
| Report Number | 2022724-2019-00004 |
| MDR Report Key | 8844137 |
| Report Source | COMPANY REPRESENTATIVE |
| Date Received | 2019-07-30 |
| Date of Report | 2019-07-30 |
| Date Mfgr Received | 2019-07-01 |
| Date Added to Maude | 2019-07-30 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. MAIRA OJEDA |
| Manufacturer Street | 11064 RANDALL ST. |
| Manufacturer City | SUN VALLEY CA 91352 |
| Manufacturer Country | US |
| Manufacturer Postal | 91352 |
| Manufacturer Phone | 8185044054 |
| Manufacturer G1 | SSCOR INC. |
| Manufacturer Street | 11064 RANDALL ST. |
| Manufacturer City | SUN VALLEY CA 91352 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 91352 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SSCOR QUICKDRAW |
| Generic Name | SSCOR QUICKDRAW |
| Product Code | BTA |
| Date Received | 2019-07-30 |
| Model Number | 2403 |
| Catalog Number | 2403 |
| Lot Number | N/A |
| Device Availability | N |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SSCOR INC. |
| Manufacturer Address | 11064 RANDALL ST. SUN VALLEY CA 91352 US 91352 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-07-30 |