MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-04 for RENU TRANSORAL NEEDLE - DOUBLE BEVEL 210423 12-000-00-ND1 manufactured by Cytophil, Inc.
| Report Number | 9155816 |
| MDR Report Key | 9155816 |
| Date Received | 2019-10-04 |
| Date of Report | 2019-10-02 |
| Date of Event | 2019-09-27 |
| Report Date | 2019-10-03 |
| Date Reported to FDA | 2019-10-03 |
| Date Reported to Mfgr | 2019-10-04 |
| Date Added to Maude | 2019-10-04 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| 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 | RENU TRANSORAL NEEDLE - DOUBLE BEVEL |
| Generic Name | NEEDLE, ASPIRATION AND INJECTION, DISPOSABLE |
| Product Code | GAA |
| Date Received | 2019-10-04 |
| Model Number | 210423 |
| Catalog Number | 12-000-00-ND1 |
| Lot Number | Q912-00031 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CYTOPHIL, INC |
| Manufacturer Address | 2485 CORPORATE CIRCLE, UNIT 2 EAST TROY WI 53120 US 53120 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-10-04 |