MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-03 for KIWI? OMNICUP? VAC-6000M manufactured by Clinical Innovations, Llc.
Report Number | 9151317 |
MDR Report Key | 9151317 |
Date Received | 2019-10-03 |
Date of Report | 2019-09-13 |
Date of Event | 2019-08-23 |
Report Date | 2019-09-13 |
Date Reported to FDA | 2019-09-13 |
Date Reported to Mfgr | 2019-10-03 |
Date Added to Maude | 2019-10-03 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
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 | 3 |
Brand Name | KIWI? OMNICUP? |
Generic Name | EXTRACTOR, VACUUM, FETAL |
Product Code | HDB |
Date Received | 2019-10-03 |
Model Number | VAC-6000M |
Lot Number | 181034 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | 1 DA |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | CLINICAL INNOVATIONS, LLC |
Manufacturer Address | 747 W 4170 S MURRAY UT 84123 US 84123 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-10-03 |