MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-06-02 for FAST TROC FAST RAC 765500-101 manufactured by Sensormedics Corp..
[58919]
Site burn from transcutaneous monitor.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1011382 |
| MDR Report Key | 94932 |
| Date Received | 1997-06-02 |
| Date of Report | 1997-03-11 |
| Date Added to Maude | 1997-06-04 |
| 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 | 0 |
| Reporter Occupation | RESPIRATORY THERAPIST |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | FAST TROC |
| Generic Name | T-CATH |
| Product Code | KLK |
| Date Received | 1997-06-02 |
| Model Number | FAST RAC |
| Catalog Number | 765500-101 |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 93728 |
| Manufacturer | SENSORMEDICS CORP. |
| Manufacturer Address | 22705 SAVI RANCH PKWY YORBA LINDA CA 92687 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1997-06-02 |