CARTO VIZIGO? 8.5F BI-DIRECTIONAL GUIDING SHEATH ? MEDIUM D138502

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-27 for CARTO VIZIGO? 8.5F BI-DIRECTIONAL GUIDING SHEATH ? MEDIUM D138502 manufactured by Biosense Webster Inc.

MAUDE Entry Details

Report Number2029046-2020-00491
MDR Report Key9891675
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-03-27
Date of Report2020-03-06
Date of Event2020-03-06
Date Mfgr Received2020-03-06
Date Added to Maude2020-03-27
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 INC (IRVINE)
Manufacturer Street33 TECHNOLOGY DRIVE
Manufacturer CityIRIVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal Code92618
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCARTO VIZIGO? 8.5F BI-DIRECTIONAL GUIDING SHEATH ? MEDIUM
Generic NameINTRODUCER, CATHETER
Product CodeDYB
Date Received2020-03-27
Returned To Mfg2020-03-26
Model NumberD138502
Catalog NumberD138502
Lot Number00001177
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerBIOSENSE WEBSTER INC
Manufacturer Address33 TECHNOLOGY DRIVE IRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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