MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-27 for LIPOGEMS PROCESS DEVICE LGD 240 LG MK 240 manufactured by Lipogems International Spa.
| Report Number | 3006053983-2019-00001 |
| MDR Report Key | 8937292 |
| Date Received | 2019-08-27 |
| Date of Report | 2019-05-16 |
| Date of Event | 2018-05-11 |
| Date Facility Aware | 2018-05-24 |
| Date Added to Maude | 2019-08-27 |
| Event Key | 0 |
| Report Source Code | Distributor report |
| Manufacturer Link | N |
| 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 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIPOGEMS PROCESS DEVICE |
| Generic Name | SPORT MEDICINE 240 |
| Product Code | MUU |
| Date Received | 2019-08-27 |
| Model Number | LGD 240 |
| Catalog Number | LG MK 240 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LIPOGEMS INTERNATIONAL SPA |
| Manufacturer Address | VIALE BIANCA MARIA, 24 MILAN, 20129 IT 20129 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-08-27 |