PRECISE PRO RX 8X30 PC0830XCE

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 2020-01-17 for PRECISE PRO RX 8X30 PC0830XCE manufactured by Cordis Corporation.

MAUDE Entry Details

Report Number9616099-2020-03484
MDR Report Key9603126
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-01-17
Date of Report2020-02-17
Date of Event2019-12-23
Date Mfgr Received2020-02-12
Device Manufacturer Date2019-06-05
Date Added to Maude2020-01-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. KARLA CASTRO
Manufacturer Street14201 NW 60TH AVE
Manufacturer CityMIAMI LAKES FL 33014
Manufacturer CountryUS
Manufacturer Postal33014
Manufacturer Phone7863138372
Manufacturer G1CORDIS CORPORATION
Manufacturer Street14201 NW 60TH AVE
Manufacturer CityMIAMI LAKES FL 33014
Manufacturer CountryUS
Manufacturer Postal Code33014
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRECISE PRO RX 8X30
Generic NameSTENT, CAROTID
Product CodeNIM
Date Received2020-01-17
Catalog NumberPC0830XCE
Lot Number17868447
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCORDIS CORPORATION
Manufacturer Address14201 NW 60TH AVE MIAMI LAKES FL 33014 US 33014


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-17

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