SAVI SCOUT? SSR75-01

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-05 for SAVI SCOUT? SSR75-01 manufactured by Cianna Medical, Inc..

MAUDE Entry Details

Report Number8860183
MDR Report Key8860183
Date Received2019-08-05
Date of Report2019-07-15
Date of Event2019-06-11
Report Date2019-07-15
Date Reported to FDA2019-07-15
Date Reported to Mfgr2019-08-05
Date Added to Maude2019-08-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
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 Report3

Device Details

Brand NameSAVI SCOUT?
Generic NameMARKER, RADIOGRAPHIC, IMPLANTABLE
Product CodeNEU
Date Received2019-08-05
Model NumberSSR75-01
Catalog NumberSSR75-01
Lot NumberML04496
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCIANNA MEDICAL, INC.
Manufacturer Address6 JOURNEY, SUITE 125 ALISO VIEJO CA 92656 US 92656


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-08-05

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