MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-07 for COR-KNOT MINI DEVICE REF 031350 manufactured by Lsi Solutions, Inc..
| Report Number | MW5090956 |
| MDR Report Key | 9295357 |
| Date Received | 2019-11-07 |
| Date of Report | 2019-11-06 |
| Date of Event | 2019-10-24 |
| Date Added to Maude | 2019-11-08 |
| Event Key | 0 |
| Report Source Code | Voluntary 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 | 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 | 0 |
| Brand Name | COR-KNOT MINI DEVICE |
| Generic Name | INSTRUMENT, LIGATURE, PASSING AND KNOT TYING |
| Product Code | HCF |
| Date Received | 2019-11-07 |
| Returned To Mfg | 2019-10-24 |
| Catalog Number | REF 031350 |
| Lot Number | 754058 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LSI SOLUTIONS, INC. |
| Manufacturer Address | VICTOR NY 14564 US 14564 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-11-07 |