WHITACRE SET 25GA 3.50 IN FOR INDIA 405129

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign,other report with the FDA on 2020-02-03 for WHITACRE SET 25GA 3.50 IN FOR INDIA 405129 manufactured by Becton Dickinson, S.a..

MAUDE Entry Details

Report Number3003152976-2020-00035
MDR Report Key9662295
Report SourceDISTRIBUTOR,FOREIGN,OTHER
Date Received2020-02-03
Date of Report2020-03-11
Date of Event2020-01-14
Date Mfgr Received2020-01-14
Device Manufacturer Date2018-02-16
Date Added to Maude2020-02-03
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 ContactBDX BRETT WILKO
Manufacturer Street9450 SOUTH STATE STREET
Manufacturer CitySANDY UT 84070
Manufacturer CountryUS
Manufacturer Postal84070
Manufacturer Phone8015652341
Manufacturer G1BECTON DICKINSON, S.A.
Manufacturer StreetCAMINO DE VALDEOLIVIA S/N
Manufacturer CitySAN AGUSTIN DE GUADALIX
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameWHITACRE SET 25GA 3.50 IN FOR INDIA
Generic NameSPINAL NEEDLE
Product CodeBSP
Date Received2020-02-03
Catalog Number405129
Lot Number1802705
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBECTON DICKINSON, S.A.
Manufacturer AddressCAMINO DE VALDEOLIVIA S/N SAN AGUSTIN DE GUADALIX


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-03

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