MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-05 for DISPOSABLE ADAPTER ADAP-2000(1) manufactured by Remington Medical, Inc..
| Report Number | MW5088790 |
| MDR Report Key | 8865484 |
| Date Received | 2019-08-05 |
| Date of Report | 2019-08-02 |
| Date of Event | 2019-07-26 |
| Date Added to Maude | 2019-08-06 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | DISPOSABLE ADAPTER |
| Generic Name | CABLE, TRANSDUCER AND ELECTRODE PATIENT (INCLUDING CONNECTOR) |
| Product Code | DSA |
| Date Received | 2019-08-05 |
| Model Number | ADAP-2000(1) |
| Lot Number | 1903615 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | REMINGTON MEDICAL, INC. |
| Manufacturer Address | ALPHARETTA GA 30005 US 30005 |
| Brand Name | SWAN GANZ |
| Generic Name | ELECTRODE, PACEMAKER, TEMPORARY |
| Product Code | LDF |
| Date Received | 2019-08-05 |
| Model Number | D97130FS |
| Lot Number | 62178567 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 2 |
| Device Event Key | 0 |
| Manufacturer | EDWARDS LIFESCIENCES LLC |
| Manufacturer Address | IRVINE CA 92614 US 92614 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-08-05 |