MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-02-11 for REDDICK E2401-51 manufactured by Lemaitre Vascular, Inc.
Report Number | 3007208013-2020-00003 |
MDR Report Key | 9695915 |
Report Source | USER FACILITY |
Date Received | 2020-02-11 |
Date of Report | 2020-03-12 |
Date of Event | 2019-11-01 |
Date Mfgr Received | 2020-01-14 |
Device Manufacturer Date | 2019-01-01 |
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 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | BRANDI MEATH |
Manufacturer Street | 3034 OWEN DRIVE |
Manufacturer City | ANTIOCH, TN |
Manufacturer Country | US |
Manufacturer Phone | 9645290 |
Manufacturer G1 | LAMAITRE VASCULAR,INC |
Manufacturer Street | 43 2ND AVENUE |
Manufacturer City | BURLINGTON, MA |
Manufacturer Country | US |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | REDDICK |
Generic Name | CHOLANGIOGRAM CATHETER |
Product Code | GBZ |
Date Received | 2020-02-11 |
Model Number | E2401-51 |
Catalog Number | E2401-51 |
Lot Number | RST2649 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | LEMAITRE VASCULAR, INC |
Manufacturer Address | 43 2ND AVENUE BURLINGTON, MA US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-02-11 |