CARTO 3 SYSTEM FG540000

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 2020-03-04 for CARTO 3 SYSTEM FG540000 manufactured by Biosense Webster Inc.

MAUDE Entry Details

Report Number2029046-2020-00351
MDR Report Key9789270
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-04
Date of Report2020-01-16
Date of Event2020-01-15
Date Mfgr Received2020-02-06
Date Added to Maude2020-03-04
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 ContactMR. GABRIEL ALFAGEME
Manufacturer Street31 TECHNOLOGY DRIVE
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone949789-868
Manufacturer G1BIOSENSE WEBSTER (ISRAEL) LTD.
Manufacturer Street4 HATNUFAH STREET
Manufacturer CityYOKNEAM 2066717
Manufacturer CountryIS
Manufacturer Postal Code2066717
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCARTO 3 SYSTEM
Generic NameCOMPUTER, DIAGNOSTIC, PROGRAMMABLE
Product CodeDQK
Date Received2020-03-04
Model NumberFG540000
Catalog NumberFG540000
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIOSENSE WEBSTER INC
Manufacturer Address33 TECHNOLOGY DRIVE IRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-04

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