PRESSURE MONITORING KIT T100209B

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-02-14 for PRESSURE MONITORING KIT T100209B manufactured by Edwards Lifesciences Dr.

MAUDE Entry Details

Report Number2015691-2020-10527
MDR Report Key9712274
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-14
Date of Report2020-01-28
Date of Event2020-01-27
Date Mfgr Received2020-01-28
Device Manufacturer Date2019-07-26
Date Added to Maude2020-02-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS SAMANTHA EVELIEGH
Manufacturer Street1 EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal92614
Manufacturer Phone9492503939
Manufacturer G1EDWARDS LIFESCIENCES DR
Manufacturer StreetPARQUE INDUSTRIAL DE ITABO CARR. SANCHEZ KM 18.5
Manufacturer CityHAINA, SAN CRISTOBAL
Manufacturer CountryDR
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRESSURE MONITORING KIT
Generic NameTRANSDUCER, PRESSURE, CATHETER TIP
Product CodeDXO
Date Received2020-02-14
Model NumberT100209B
Catalog NumberT100209B
Lot Number62484303
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerEDWARDS LIFESCIENCES DR
Manufacturer AddressPARQUE INDUSTRIAL DE ITABO CARR. SANCHEZ KM 18.5 HAINA, SAN CRISTOBAL DR


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-14

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