MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2019-11-30 for MIO? manufactured by .
Report Number | 3003442380-2019-01950 |
MDR Report Key | 9392202 |
Report Source | DISTRIBUTOR |
Date Received | 2019-11-30 |
Date Mfgr Received | 2019-11-01 |
Date Added to Maude | 2019-11-30 |
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 | 0 |
Initial Report to FDA | 0 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Street | AAHOLMVEJ 1-3 OSTED |
Manufacturer City | LEJRE, 4320 |
Manufacturer Country | DA |
Manufacturer Postal | 4320 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MIO? |
Generic Name | INSET II 46/6 PCC BLUE |
Product Code | FPA |
Date Received | 2019-11-30 |
Lot Number | 5259959 |
Device Availability | * |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-11-30 |