MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-04 for 3D KNEE 391-11-707 manufactured by Encore Medical L.p..
Report Number | 1644408-2019-00836 |
MDR Report Key | 8962581 |
Date Received | 2019-09-04 |
Date of Report | 2019-09-03 |
Date of Event | 2019-08-06 |
Date Mfgr Received | 2019-08-06 |
Device Manufacturer Date | 2013-12-17 |
Date Added to Maude | 2019-09-04 |
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 | TEFFANY HUTTO |
Manufacturer Street | 9800 METRIC BLVD |
Manufacturer City | AUSTIN, TX 78758-5445 |
Manufacturer Country | US |
Manufacturer G1 | ENCORE MEDICAL L.P. |
Manufacturer Street | 9800 METRIC BLVD |
Manufacturer City | AUSTIN, TX 78758-5445 |
Manufacturer Country | US |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | 3D KNEE |
Generic Name | INSERT, 3D EX SZ 7LT 11MM |
Product Code | OIY |
Date Received | 2019-09-04 |
Model Number | 391-11-707 |
Catalog Number | 391-11-707 |
Lot Number | 59604256 |
Device Expiration Date | 2018-12-31 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ENCORE MEDICAL L.P. |
Manufacturer Address | 9800 METRIC BLVD AUSTIN, TX 78758-5445 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2019-09-04 |