MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-02-11 for EQUINOXE UNK 314-13-14 manufactured by Exactech, Inc..
Report Number | 1038671-2020-00037 |
MDR Report Key | 9693150 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2020-02-11 |
Date of Report | 2020-03-04 |
Date of Event | 2020-02-06 |
Date Mfgr Received | 2020-02-26 |
Date Added to Maude | 2020-02-11 |
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 | KATE JACOBSON |
Manufacturer Phone | 3523771140 |
Manufacturer G1 | EXACTECH, INC. |
Manufacturer Street | 2320 NW 66 CT |
Manufacturer City | GAINESVILLE FL 32653 |
Manufacturer Country | US |
Manufacturer Postal Code | 32653 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | EQUINOXE |
Generic Name | CAGE GLENOID LARGE, BETA |
Product Code | KWT |
Date Received | 2020-02-11 |
Model Number | UNK |
Catalog Number | 314-13-14 |
Lot Number | UNK |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | EXACTECH, INC. |
Manufacturer Address | 2320 NW 66 COURT GAINESVILLE FL 32653 US 32653 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2020-02-11 |