MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-28 for EXPRESS SD RENAL/BILIARY 20188 H74937912618150 manufactured by Boston Scientific Corporation.
| Report Number | 8939315 |
| MDR Report Key | 8939315 |
| Date Received | 2019-08-28 |
| Date of Report | 2019-08-21 |
| Date of Event | 2019-01-21 |
| Report Date | 2019-08-21 |
| Date Reported to FDA | 2019-08-21 |
| Date Reported to Mfgr | 2019-08-28 |
| Date Added to Maude | 2019-08-28 |
| Event Key | 0 |
| Report Source Code | User Facility 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 | OTHER HEALTH CARE PROFESSIONAL |
| 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 | EXPRESS SD RENAL/BILIARY |
| Generic Name | STENT, RENAL |
| Product Code | NIN |
| Date Received | 2019-08-28 |
| Model Number | 20188 |
| Catalog Number | H74937912618150 |
| Lot Number | 22631407 |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BOSTON SCIENTIFIC CORPORATION |
| Manufacturer Address | 300 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 US 01752 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-08-28 |