CRV MINI KAMVAC SUCTION TUBE 530020500

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-09-09 for CRV MINI KAMVAC SUCTION TUBE 530020500 manufactured by Depuy Orthopaedics, Inc. 1818910.

MAUDE Entry Details

Report Number1818910-2019-103567
MDR Report Key8976186
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-09-09
Date of Report2019-08-16
Date of Event2019-06-10
Date Mfgr Received2019-10-10
Device Manufacturer Date2018-08-24
Date Added to Maude2019-09-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactMS. KARA DITTY-BOVARD
Manufacturer Street1210 WARD AVENUE
Manufacturer CityWEST CHESTER PA 193800988
Manufacturer CountryUS
Manufacturer Postal193800988
Manufacturer Phone6103142063
Manufacturer G1DEPUY ORTHOPAEDICS, INC. 1818910
Manufacturer Street700 ORTHOPAEDIC DRIVE
Manufacturer CityWARSAW IN 465820988
Manufacturer CountryUS
Manufacturer Postal Code465820988
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCRV MINI KAMVAC SUCTION TUBE
Generic NameSURGICAL ACCESSORIES : ENVIRONMENTAL PROTECTION
Product CodeJOL
Date Received2019-09-09
Catalog Number530020500
Lot Number62119694
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY ORTHOPAEDICS, INC. 1818910
Manufacturer Address700 ORTHOPAEDIC DRIVE WARSAW IN 465820988 US 465820988


Patients

Patient NumberTreatmentOutcomeDate
10 2019-09-09

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.