MEERA EU WITHOUT AUTO DRIVE 720001B0

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 2020-02-27 for MEERA EU WITHOUT AUTO DRIVE 720001B0 manufactured by Holger Ullrich.

MAUDE Entry Details

Report Number8010652-2020-00005
MDR Report Key9762314
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-27
Date of Report2020-02-27
Date of Event2020-01-29
Date Mfgr Received2020-01-31
Device Manufacturer Date2017-02-15
Date Added to Maude2020-02-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer StreetMAQUET GMBH KEHLER STRASSE 31,
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal76437
Manufacturer G1HOLGER ULLRICH
Manufacturer StreetMAQUET GMBH KEHLER STRASSE 31,
Manufacturer CityRASTATT 76437
Manufacturer CountryGM
Manufacturer Postal Code76437
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEERA EU WITHOUT AUTO DRIVE
Generic NameTABLE, OPERATING-ROOM, AC-POWERED
Product CodeFQO
Date Received2020-02-27
Model Number720001B0
Catalog Number720001B0
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHOLGER ULLRICH
Manufacturer AddressMAQUET GMBH KEHLER STRASSE 31, RASTATT 76437 GM 76437


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-27

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