MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2019-11-29 for 466FXXXX manufactured by Cordis Cashel.
Report Number | 1016427-2019-03612 |
MDR Report Key | 9391853 |
Report Source | OTHER |
Date Received | 2019-11-29 |
Date of Report | 2019-11-29 |
Date of Event | 2019-04-25 |
Date Mfgr Received | 2019-11-07 |
Date Added to Maude | 2019-11-29 |
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 | MRS. KARLA CASTRO |
Manufacturer Street | 14201 NW 60TH AVE |
Manufacturer City | MIAMI LAKES FL 33014 |
Manufacturer Country | US |
Manufacturer Postal | 33014 |
Manufacturer Phone | 7863138372 |
Manufacturer G1 | CORDIS CASHEL |
Manufacturer Street | CAHIR ROAD CASHEL, CO. TIPPERARY |
Manufacturer Country | EI |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | 466FXXXX |
Generic Name | FILTER, INTRAVASCULAR, CARDIOVASCULAR |
Product Code | DTK |
Date Received | 2019-11-29 |
Model Number | 466FXXXX |
Catalog Number | 466FXXXX |
Lot Number | UNK |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | CORDIS CASHEL |
Manufacturer Address | CAHIR ROAD CASHEL, CO. TIPPERARY EI |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Life Threatening | 2019-11-29 |