GRPRO 2.1 AND STRAIGHT KNEE WRAP 550500-03

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-08-15 for GRPRO 2.1 AND STRAIGHT KNEE WRAP 550500-03 manufactured by Coolsystems, Inc. (dba Game Ready).

MAUDE Entry Details

Report Number2954777-2019-00002
MDR Report Key8897617
Report SourceDISTRIBUTOR
Date Received2019-08-15
Date of Report2019-09-13
Date of Event2019-09-20
Date Mfgr Received2019-07-17
Device Manufacturer Date2011-03-15
Date Added to Maude2019-08-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactARLENE ALVAREZ
Manufacturer Street1800 SUTTER STREET SUITE 500
Manufacturer CityCONCORD CA 94520
Manufacturer CountryUS
Manufacturer Postal94520
Manufacturer Phone5109845351
Manufacturer G1COOLSYSTEMS, INC.
Manufacturer Street1800 SUTTER STREET SUITE 500
Manufacturer CityCONCORD CA 94520
Manufacturer CountryUS
Manufacturer Postal Code94520
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGRPRO 2.1 AND STRAIGHT KNEE WRAP
Generic NameCOLD- AND INTERMITTENT COMPRESSION
Product CodeILO
Date Received2019-08-15
Returned To Mfg2019-08-09
Model Number550500-03
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCOOLSYSTEMS, INC. (DBA GAME READY)
Manufacturer Address1800 SUTTER STREET SUITE 500 CONCORD CA 94520 US 94520


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2019-08-15

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