MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-08-30 for APOLLO WHIRLPOOL BATH 6000 manufactured by Apollo Corporation.
| Report Number | 2182947-2019-00002 |
| MDR Report Key | 8952076 |
| Date Received | 2019-08-30 |
| Date of Report | 2019-08-28 |
| Date of Event | 2019-07-30 |
| Device Manufacturer Date | 2006-12-21 |
| Date Added to Maude | 2019-08-30 |
| 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 | MR. RANDALL DEKAN |
| Manufacturer Street | 450 MAIN STREET |
| Manufacturer City | SOMERSET WI 54025 |
| Manufacturer Country | US |
| Manufacturer Postal | 54025 |
| Manufacturer Phone | 7152475625 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | APOLLO WHIRLPOOL BATH |
| Generic Name | BATH CHAIR |
| Product Code | ILJ |
| Date Received | 2019-08-30 |
| Model Number | 6000 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | APOLLO CORPORATION |
| Manufacturer Address | 450 MAIN STREET SOMERSET WI 54025 US 54025 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-08-30 |