MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-02-21 for LIQUIBAND OPTIMA manufactured by Advanced Medical Solutions Limited.
| Report Number | 9617175-2020-00005 |
| MDR Report Key | 9738924 |
| Report Source | DISTRIBUTOR |
| Date Received | 2020-02-21 |
| Date of Report | 2020-02-21 |
| Date of Event | 2020-01-29 |
| Date Mfgr Received | 2020-02-14 |
| Date Added to Maude | 2020-02-21 |
| 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 | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Street | WESTERN WOOD WAY LANGAGE SCIENCE PARK |
| Manufacturer City | PLYMOUTH, PL7 5BG |
| Manufacturer Country | UK |
| Manufacturer Postal | PL7 5BG |
| Manufacturer G1 | ADVANCED MEDICAL SOLUTIONS LIMITED |
| Manufacturer Street | WESTERN WOOD WAY LANGAGE SCIENCE PARK |
| Manufacturer City | PLYMOUTH, PL75BG |
| Manufacturer Country | UK |
| Manufacturer Postal Code | PL75BG |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIQUIBAND OPTIMA |
| Generic Name | TOPICAL SKIN ADHESIVE |
| Product Code | MPN |
| Date Received | 2020-02-21 |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ADVANCED MEDICAL SOLUTIONS LIMITED |
| Manufacturer Address | WESTERN WOOD WAY LANGAGE SCIENCE PARK PLYMOUTH, PL75BG UK PL75BG |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-21 |