MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-23 for SERVO GUARD 6595487 manufactured by Maquet Critical Care Ab.
| Report Number | 3013876692-2019-00024 |
| MDR Report Key | 9225022 |
| Date Received | 2019-10-23 |
| Date of Report | 2019-10-23 |
| Date of Event | 2019-10-09 |
| Date Facility Aware | 2019-10-17 |
| Report Date | 2019-10-23 |
| Date Reported to FDA | 2019-10-23 |
| Date Reported to Mfgr | 2019-10-23 |
| Date Added to Maude | 2019-10-23 |
| Event Key | 0 |
| Report Source Code | Distributor 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 | SERVO GUARD |
| Generic Name | FILTER, BACTERIAL, BREATHING-CIRCUIT |
| Product Code | CAH |
| Date Received | 2019-10-23 |
| Catalog Number | 6595487 |
| Lot Number | NI |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MAQUET CRITICAL CARE AB |
| Manufacturer Address | ROENTGENVAGEN 2 SOLNA US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Life Threatening | 2019-10-23 |