MAMMOMAT REVELATION 11343300

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,user facility report with the FDA on 2020-02-12 for MAMMOMAT REVELATION 11343300 manufactured by Siemens Healthcare Gmbh.

MAUDE Entry Details

Report Number3004977335-2020-17660
MDR Report Key9701426
Report SourceFOREIGN,USER FACILITY
Date Received2020-02-12
Date of Report2020-01-30
Date of Event2020-01-28
Date Mfgr Received2020-03-09
Date Added to Maude2020-02-12
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 ContactANASTASIA SOKOLOVA
Manufacturer Street40 LIBERTY BLVD. MC 65-1A
Manufacturer CityMALVERN, PA
Manufacturer CountryUS
Manufacturer Phone4486478
Manufacturer G1SIEMENS HEALTHCARE GMBH
Manufacturer StreetSIEMENSTRASSE 1
Manufacturer CityFORCHHEIM, 91301
Manufacturer CountryGM
Manufacturer Postal Code91301
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMAMMOMAT REVELATION
Generic NameFULL-FIELD DIGITAL MAMMOGRAPHY SYSTEM
Product CodeMUE
Date Received2020-02-12
Model Number11343300
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE GMBH
Manufacturer AddressSIEMENSTRASSE 1 FORCHHEIM, 91301 GM 91301


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-12

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