MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-01-07 for VASOPRESS DIGITAL MINI PUMP VP500DM manufactured by Compression Therapy Concepts, Inc..
| Report Number | 3002834373-2020-00001 |
| MDR Report Key | 9559146 |
| Report Source | USER FACILITY |
| Date Received | 2020-01-07 |
| Date of Report | 2020-01-07 |
| Date Mfgr Received | 2019-12-17 |
| Date Added to Maude | 2020-01-07 |
| 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. CHRISTINA ARNT |
| Manufacturer Street | 56 E. BELL DRIVE |
| Manufacturer City | WARSAW IN 46580 |
| Manufacturer Country | US |
| Manufacturer Postal | 46580 |
| Manufacturer Phone | 5745273773 |
| Manufacturer G1 | COMPRESSION THERAPY CONCEPTS, INC. |
| Manufacturer Street | 555 INDUSTRIAL WAY W |
| Manufacturer City | EATONTOWN NJ 07724 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 07724 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | N/A |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VASOPRESS DIGITAL MINI PUMP |
| Generic Name | MINI PUMP |
| Product Code | JOW |
| Date Received | 2020-01-07 |
| Returned To Mfg | 2019-11-21 |
| Catalog Number | VP500DM |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | COMPRESSION THERAPY CONCEPTS, INC. |
| Manufacturer Address | 555 INDUSTRIAL WAY W EATONTOWN NJ 07724 US 07724 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-01-07 |