SENTINEL CMS15-10C-US

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-30 for SENTINEL CMS15-10C-US manufactured by Claret Medical, Inc..

MAUDE Entry Details

Report Number9255628
MDR Report Key9255628
Date Received2019-10-30
Date of Report2019-09-23
Date of Event2019-09-18
Report Date2019-09-24
Date Reported to FDA2019-09-24
Date Reported to Mfgr2019-10-30
Date Added to Maude2019-10-30
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSENTINEL
Generic NameTEMPORARY CATHETER, EMBOLIC PROTECTION, TRANSCATHETER INTRACARDIAC PROCEDURES
Product CodePUM
Date Received2019-10-30
Returned To Mfg2019-09-23
Model NumberCMS15-10C-US
Catalog NumberCMS15-10C-US
Lot Number19H01H21
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCLARET MEDICAL, INC.
Manufacturer Address1745 COPPERHILL PKWY SANTA ROSA CA 95403 US 95403


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-30

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