MOBIUS RETRACTOR LARGE 900-520

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2020-02-28 for MOBIUS RETRACTOR LARGE 900-520 manufactured by Coopersurgical, Inc..

MAUDE Entry Details

Report Number1216677-2020-00064
MDR Report Key9769641
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-02-28
Date of Report2020-02-28
Date of Event2020-02-10
Date Mfgr Received2020-02-12
Device Manufacturer Date2019-10-14
Date Added to Maude2020-02-28
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 ContactMR. PETER NIZIOLEK
Manufacturer Street50 CORPORATE DRIVE
Manufacturer CityTRUMBULL, CT
Manufacturer CountryUS
Manufacturer Phone6015200334
Manufacturer G1COOPERSURGICAL, INC.
Manufacturer Street75 CORPORATE DRIVE
Manufacturer CityTRUMBULL, CT
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMOBIUS RETRACTOR LARGE
Generic NameMOBIUS RETRACTOR LARGE
Product CodeGAD
Date Received2020-02-28
Model Number900-520
Catalog Number900-520
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCOOPERSURGICAL, INC.
Manufacturer Address95 CORPORATE DRIVE TRUMBULL, CT US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-28

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