MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-09-27 for POWERGLIDE ST MIDLINE CATHETER ST018101D manufactured by Bard Access Systems, Inc..
| Report Number | MW5090102 |
| MDR Report Key | 9134787 |
| Date Received | 2019-09-27 |
| Date of Report | 2019-09-16 |
| Date of Event | 2019-09-12 |
| Date Added to Maude | 2019-09-30 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| 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 | 0 |
| Brand Name | POWERGLIDE ST MIDLINE CATHETER |
| Generic Name | MIDLINE CATHETER |
| Product Code | PND |
| Date Received | 2019-09-27 |
| Model Number | ST018101D |
| Catalog Number | ST018101D |
| Lot Number | REDR1770 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BARD ACCESS SYSTEMS, INC. |
| Manufacturer Address | 605 N. 5600 W. SALT LAKE CITY UT 84116 US 84116 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-09-27 |