CAMERA HEAD AC - C-MOUNT 242401

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-11 for CAMERA HEAD AC - C-MOUNT 242401 manufactured by Medos International Sarl.

MAUDE Entry Details

Report Number1221934-2020-00834
MDR Report Key9820338
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-11
Date of Report2020-02-28
Date of Event2020-02-11
Date Mfgr Received2020-02-28
Date Added to Maude2020-03-11
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 ContactKARA DITTY-BOVARD
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Manufacturer Phone6013142063
Manufacturer G1MEDOS INTERNATIONAL SARL
Manufacturer StreetCHEMIN BLANC 38
Manufacturer CityLE LOCLE CH-2400
Manufacturer CountrySZ
Manufacturer Postal CodeCH-2400
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCAMERA HEAD AC - C-MOUNT
Generic NameENDOSCOPIC VIDEO CAMERA
Product CodeFWF
Date Received2020-03-11
Returned To Mfg2020-02-24
Model Number242401
Catalog Number242401
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDOS INTERNATIONAL SARL
Manufacturer AddressCHEMIN BLANC 38 LE LOCLE CH-2400 SZ CH-2400


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-11

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.