MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-01 for TRAY BONANNO CATHETER S/SU 408289 manufactured by Bd Caribe Ltd..
| Report Number | 2618282-2019-00232 |
| MDR Report Key | 8853041 |
| Date Received | 2019-08-01 |
| Date of Report | 2019-10-14 |
| Date of Event | 2019-07-11 |
| Date Mfgr Received | 2019-07-11 |
| Device Manufacturer Date | 2018-02-21 |
| Date Added to Maude | 2019-08-01 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | BDX BRETT WILKO |
| Manufacturer Street | 9450 SOUTH STATE STREET |
| Manufacturer City | SANDY UT 84070 |
| Manufacturer Country | US |
| Manufacturer Postal | 84070 |
| Manufacturer Phone | 8015652341 |
| Manufacturer G1 | BD CARIBE LTD. |
| Manufacturer Street | ROAD 31 K.M. 24.3 |
| Manufacturer City | JUNCOS |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TRAY BONANNO CATHETER S/SU |
| Generic Name | SUPRAPUBIC UROLOGICAL CATHETER AND ACCESSORIES |
| Product Code | FEZ |
| Date Received | 2019-08-01 |
| Catalog Number | 408289 |
| Lot Number | 8008682 |
| Device Availability | * |
| Device Age | DA |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BD CARIBE LTD. |
| Manufacturer Address | ROAD 31 K.M. 24.3 JUNCOS US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-08-01 |