MAUDE MDR 9847053

MDR report key
9847053
Report number
3004742232-2020-00086
Event key
0
Event type
3
Date of event
2020-02-26
Date received
2020-03-18
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MORGAN HILL
Address
1225 OLD HWY 8 NW ST. PAUL, MN US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1DIAMONDBACK PERIPHERAL ORBITAL ATHERECTOMY SYSTEM (VIPERWIRE)PERIPHERAL ATHERECTOMY DEVICE (GUIDE WIRE)CARDIOVASCULAR SYSTEMS, INC.MCWVPR-GW-FT147-10041-03297058R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-1801. O

Event Narratives#

No narrative records found.