SUPERDIMENSION SDTNB1000

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 2019-09-30 for SUPERDIMENSION SDTNB1000 manufactured by Covidien Lp - Superdimension Inc.

MAUDE Entry Details

Report Number3004962788-2019-00068
MDR Report Key9137913
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-09-30
Date of Report2019-09-30
Date of Event2019-09-06
Date Mfgr Received2019-09-06
Date Added to Maude2019-09-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactAMY BEEMAN
Manufacturer Street161 CHESHIRE LANE SUITE 100
Manufacturer CityMINNEAPOLIS MN 55441
Manufacturer CountryUS
Manufacturer Postal55441
Manufacturer Phone7632104064
Manufacturer G1COVIDIEN LP - SUPERDIMENSION INC
Manufacturer Street161 CHESHIRE LANE, SUITE 100
Manufacturer CityPLYMOUTH MN 55441
Manufacturer CountryUS
Manufacturer Postal Code55441
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSUPERDIMENSION
Generic NameBRUSH, BIOPSY, BRONCHOSCOPE (NON-RIGID)
Product CodeBTG
Date Received2019-09-30
Model NumberSDTNB1000
Catalog NumberSDTNB1000
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN LP - SUPERDIMENSION INC
Manufacturer Address161 CHESHIRE LANE, SUITE 100 PLYMOUTH MN 55441 US 55441


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2019-09-30

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