MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-20 for IFLOW IFLOW 200 S PROXIMAL FLOW SENSOR 301.328.010 manufactured by Imtmedical Pte. Ltd..
Report Number | 3004553423-2019-00080 |
MDR Report Key | 8913164 |
Date Received | 2019-08-20 |
Date of Report | 2018-09-07 |
Date of Event | 2018-09-07 |
Date Mfgr Received | 2018-09-07 |
Date Added to Maude | 2019-08-20 |
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 | STANLEY TAN |
Manufacturer Street | 22745 SAVI RANCH PKWY |
Manufacturer City | YORBA LINDA CA 92887 |
Manufacturer Country | US |
Manufacturer Postal | 92887 |
Manufacturer Phone | 7149193324 |
Manufacturer G1 | TECHNOCOM SYSTEMS SDN BHD |
Manufacturer Street | PLO 1 JALAN FIRMA 1 KAWASAN PERINDUSTRIAN TEBRAU 1 |
Manufacturer City | JOHOR BAHRU, 81100 |
Manufacturer Country | MY |
Manufacturer Postal Code | 81100 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | IFLOW |
Generic Name | SET,TUBING AND SUPPORT, VENTILATOR (W/HARNESS) |
Product Code | BZO |
Date Received | 2019-08-20 |
Model Number | IFLOW 200 S PROXIMAL FLOW SENSOR |
Catalog Number | 301.328.010 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | IMTMEDICAL PTE. LTD. |
Manufacturer Address | 10 JALAN KILANG SIME DARBY ENTERPRISE CENTRE#06-06 SINGAPORE, 15941 SN 15941 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 2019-08-20 |