PROTEGE RX CAROTID STENT SYSTEM SEPX-8-6-40-135

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-01-06 for PROTEGE RX CAROTID STENT SYSTEM SEPX-8-6-40-135 manufactured by Covidien.

MAUDE Entry Details

Report Number2183870-2020-00007
MDR Report Key9552450
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-01-06
Date of Report2020-03-02
Date of Event2019-12-26
Date Mfgr Received2020-02-28
Device Manufacturer Date2018-09-26
Date Added to Maude2020-01-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactTONI O'DOHERTY
Manufacturer StreetPARKMORE BUSINESS PARK WEST
Manufacturer CityGALWAY
Manufacturer Phone091708734
Manufacturer G1COVIDIEN
Manufacturer Street4600 NATHAN LANE NORTH
Manufacturer CityPLYMOUTH MN 55442
Manufacturer CountryUS
Manufacturer Postal Code55442
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePROTEGE RX CAROTID STENT SYSTEM
Generic NameSTENT, CAROTID
Product CodeNIM
Date Received2020-01-06
Catalog NumberSEPX-8-6-40-135
Lot NumberA713852
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN
Manufacturer Address4600 NATHAN LANE NORTH PLYMOUTH MN 55442 US 55442


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-06

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