MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-28 for PICCO2 PC8500 manufactured by Pulsion Medical Systems Se.
| Report Number | 3003263092-2019-00022 |
| MDR Report Key | 9389655 |
| Date Received | 2019-11-28 |
| Date of Report | 2019-11-27 |
| Date of Event | 2019-10-06 |
| Date Mfgr Received | 2019-11-01 |
| Device Manufacturer Date | 2011-11-01 |
| Date Added to Maude | 2019-11-28 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. SEVDE GUENGOER |
| Manufacturer Street | HANS-RIEDL-STRASSE 17 |
| Manufacturer City | FELDKIRCHEN 85622 |
| Manufacturer Country | GM |
| Manufacturer Postal | 85622 |
| Manufacturer Phone | 0894599140 |
| Manufacturer G1 | PULSION MEDICAL SYSTEMS SE |
| Manufacturer Street | HANS-RIEDL-STRASSE 17 |
| Manufacturer City | FELDKIRCHEN 85622 |
| Manufacturer Country | GM |
| Manufacturer Postal Code | 85622 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PICCO2 |
| Generic Name | COMPUTER, DIAGNOSTIC, PRE-PROGRAMMED, SINGLE-FUNCTION |
| Product Code | DXG |
| Date Received | 2019-11-28 |
| Returned To Mfg | 2019-11-11 |
| Catalog Number | PC8500 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PULSION MEDICAL SYSTEMS SE |
| Manufacturer Address | HANS-RIEDL-STRASSE 17 FELDKIRCHEN 85622 GM 85622 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-11-28 |