CONCORDE CLEAR 30DEG 5MM 163005530

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 2020-03-27 for CONCORDE CLEAR 30DEG 5MM 163005530 manufactured by Medos International Sàrl Ch.

MAUDE Entry Details

Report Number1526439-2020-00796
MDR Report Key9892098
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-27
Date of Report2020-03-02
Date of Event2020-03-02
Date Mfgr Received2020-03-02
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 ContactKARA DITTY-BOVARD
Manufacturer StreetCHEMIN-BLANC 38
Manufacturer CityLE LOCLE 02400
Manufacturer CountrySZ
Manufacturer Postal02400
Manufacturer Phone6103142063
Manufacturer G1BRIDGEWATER DISTRIBUTION
Manufacturer Street50 SCOTLAND BOULEVARD
Manufacturer CityBRIDGEWATER MA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCONCORDE CLEAR 30DEG 5MM
Generic NameACCESSORIES, ARTHROSCOPIC
Product CodeHRX
Date Received2020-03-27
Model Number163005530
Catalog Number163005530
Lot Number67552
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDOS INTERNATIONAL SàRL CH
Manufacturer AddressCHEMIN-BLANC 38 LE LOCLE 02400 SZ 02400


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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