IFLOW IFLOW 200 S PROXIMAL FLOW SENSOR 301.328.010

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-20 for IFLOW IFLOW 200 S PROXIMAL FLOW SENSOR 301.328.010 manufactured by Imtmedical Pte. Ltd..

MAUDE Entry Details

Report Number3004553423-2019-00080
MDR Report Key8913164
Date Received2019-08-20
Date of Report2018-09-07
Date of Event2018-09-07
Date Mfgr Received2018-09-07
Date Added to Maude2019-08-20
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 ContactSTANLEY TAN
Manufacturer Street22745 SAVI RANCH PKWY
Manufacturer CityYORBA LINDA CA 92887
Manufacturer CountryUS
Manufacturer Postal92887
Manufacturer Phone7149193324
Manufacturer G1TECHNOCOM SYSTEMS SDN BHD
Manufacturer StreetPLO 1 JALAN FIRMA 1 KAWASAN PERINDUSTRIAN TEBRAU 1
Manufacturer CityJOHOR BAHRU, 81100
Manufacturer CountryMY
Manufacturer Postal Code81100
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameIFLOW
Generic NameSET,TUBING AND SUPPORT, VENTILATOR (W/HARNESS)
Product CodeBZO
Date Received2019-08-20
Model NumberIFLOW 200 S PROXIMAL FLOW SENSOR
Catalog Number301.328.010
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerIMTMEDICAL PTE. LTD.
Manufacturer Address10 JALAN KILANG SIME DARBY ENTERPRISE CENTRE#06-06 SINGAPORE, 15941 SN 15941


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-08-20

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