CAMERA HEAD AC - C-MOUNT 242401

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-10-16 for CAMERA HEAD AC - C-MOUNT 242401 manufactured by Medos International Sàrl.

MAUDE Entry Details

Report Number1221934-2019-59037
MDR Report Key9199489
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-10-16
Date of Report2019-09-17
Date of Event2019-01-01
Date Mfgr Received2019-09-17
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
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKARA DITTY-BOVARD
Manufacturer StreetCHEMIN-BLANC 38
Manufacturer CityLE LOCLE 02400
Manufacturer CountrySZ
Manufacturer Postal02400
Manufacturer Phone6103142063
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCAMERA HEAD AC - C-MOUNT
Generic NameENDOSCOPIC VIDEO CAMERA
Product CodeFWF
Date Received2019-10-16
Model Number242401
Catalog Number242401
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDOS INTERNATIONAL SàRL
Manufacturer AddressCHEMIN-BLANC 38 LE LOCLE 02400 SZ 02400


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-16

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