SITUATE 01-0031

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2019-11-11 for SITUATE 01-0031 manufactured by Mitg - Rf Surgical Systems.

MAUDE Entry Details

Report Number3005883396-2019-00092
MDR Report Key9307069
Report SourceUSER FACILITY
Date Received2019-11-11
Date of Report2019-11-11
Date Mfgr Received2019-10-25
Date Added to Maude2019-11-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLISA HERNANDEZ
Manufacturer Street5920 LONGBOW DRIVE
Manufacturer CityBOULDER CO 80301
Manufacturer CountryUS
Manufacturer Postal80301
Manufacturer Phone2034925563
Manufacturer G1MITG - RF SURGICAL SYSTEMS
Manufacturer Street2101 FARADAY
Manufacturer CityCARLSBAD CA 92008
Manufacturer CountryUS
Manufacturer Postal Code92008
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSITUATE
Generic NameCOUNTER, SPONGE, SURGICAL
Product CodeLWH
Date Received2019-11-11
Model Number01-0031
Catalog Number01-0031
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMITG - RF SURGICAL SYSTEMS
Manufacturer Address2101 FARADAY CARLSBAD CA 92008 US 92008


Patients

Patient NumberTreatmentOutcomeDate
10 2019-11-11

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.