MCKESSON 159-003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-28 for MCKESSON 159-003 manufactured by Suzhou Meccan Imp.& Exp Co.,.

MAUDE Entry Details

Report Number1314417-2020-00013
MDR Report Key9770521
Date Received2020-02-28
Date of Report2020-02-28
Date of Event2020-01-29
Date Added to Maude2020-02-28
Event Key0
Report Source CodeDistributor report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMCKESSON
Generic NameLARYNGEAL MASK
Product CodeCAE
Date Received2020-02-28
Model Number159-003
Lot Number20180701
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSUZHOU MECCAN IMP.& EXP CO.,
Manufacturer Address12 EAST CHUNSHEN LAKE ROAD XIANGCHENG DISTRICT SUZHOU, CHINA US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-28

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