MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-01-30 for DISPOSABLE CHAIR ALARM BELT 8399 manufactured by .
Report Number | 2020362-2020-00001 |
MDR Report Key | 9648243 |
Report Source | USER FACILITY |
Date Received | 2020-01-30 |
Date of Report | 2020-01-03 |
Date Mfgr Received | 2020-01-03 |
Date Added to Maude | 2020-01-30 |
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 | CHRIS RAHN |
Manufacturer Street | 570 ENTERPRISE DRIVE |
Manufacturer City | NEENAH WI 54956 |
Manufacturer Country | US |
Manufacturer Postal | 54956 |
Manufacturer Phone | 9207514300 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | DISPOSABLE CHAIR ALARM BELT |
Generic Name | FALL PREVENTION ALARM/SENSOR ATTACHED ONLY |
Product Code | PJP |
Date Received | 2020-01-30 |
Model Number | 8399 |
Catalog Number | 8399 |
Lot Number | 8150T126 |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer Address | US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-01-30 |