HZ APPLIER MED 8" CVD IPN004607 237081

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2020-01-16 for HZ APPLIER MED 8" CVD IPN004607 237081 manufactured by Teleflex Medical.

MAUDE Entry Details

Report Number3011137372-2020-00021
MDR Report Key9597571
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2020-01-16
Date of Report2019-12-16
Date of Event2019-11-28
Date Mfgr Received2020-02-03
Date Added to Maude2020-01-16
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 ContactJASMINE BROWN
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal27560
Manufacturer Phone9193614124
Manufacturer G1TELEFLEX MEDICAL
Manufacturer Street3015 CARRINGTON MILL BLVD
Manufacturer CityMORRISVILLE NC 27560
Manufacturer CountryUS
Manufacturer Postal Code27560
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHZ APPLIER MED 8" CVD
Generic NameAPPLIER, SURGICAL, CLIP
Product CodeGDO
Date Received2020-01-16
Model NumberIPN004607
Catalog Number237081
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTELEFLEX MEDICAL
Manufacturer AddressMORRISVILLE NC


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-16

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