S5 ROLLER PUMP 10-80-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-13 for S5 ROLLER PUMP 10-80-00 manufactured by Livanova Deutschland Gmbh.

MAUDE Entry Details

Report Number9611109-2020-00183
MDR Report Key9831301
Date Received2020-03-13
Date of Report2020-03-13
Date of Event2020-01-16
Date Mfgr Received2020-02-12
Device Manufacturer Date2017-10-11
Date Added to Maude2020-03-13
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 ContactENRICO GRECO
Manufacturer Street14401 W. 65TH WAY
Manufacturer CityARVADA CO 80004
Manufacturer CountryUS
Manufacturer Postal80004
Manufacturer G1LIVANOVA DEUTSCHLAND GMBH
Manufacturer StreetLINDBERGHSTR. 25
Manufacturer CityMUNICH 80309
Manufacturer CountryGM
Manufacturer Postal Code80309
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameS5 ROLLER PUMP
Generic NameCONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS
Product CodeDWB
Date Received2020-03-13
Model Number10-80-00
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerLIVANOVA DEUTSCHLAND GMBH
Manufacturer AddressLINDBERGHSTR. 25 MUNICH 80309 GM 80309


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-13

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