HUT EXT DR FINAL ASSY,RE,FPD 414007

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-16 for HUT EXT DR FINAL ASSY,RE,FPD 414007 manufactured by Liebel-flarsheim.

MAUDE Entry Details

Report Number1518293-2019-00022
MDR Report Key9196614
Date Received2019-10-16
Date of Report2019-09-17
Date of Event2019-09-17
Date Mfgr Received2019-09-17
Device Manufacturer Date2018-09-30
Date Added to Maude2019-10-16
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 ContactFRED RECKELHOFF
Manufacturer Street2111 E GALBRAITH ROAD
Manufacturer CityCINCINNATI OH 45237
Manufacturer CountryUS
Manufacturer Postal45237
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHUT EXT DR FINAL ASSY,RE,FPD
Generic NameHUT EXT DR FINAL ASSY,RE,FPD
Product CodeMQB
Date Received2019-10-16
Model Number414007
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerLIEBEL-FLARSHEIM
Manufacturer Address2111 E GALBRAITH ROAD CINCINNATI OH 45237 US 45237


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-16

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