HARMONIC LAP 5MM SHEAR 36CM HAR36

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 2020-03-31 for HARMONIC LAP 5MM SHEAR 36CM HAR36 manufactured by Ethicon Endo-surgery, Llc..

MAUDE Entry Details

Report Number3005075853-2020-01880
MDR Report Key9908191
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-31
Date of Report2020-03-09
Date of Event2020-01-01
Date Mfgr Received2020-03-09
Device Manufacturer Date2018-10-04
Date Added to Maude2020-03-31
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 ContactMS. KARA DITTY-BOVARD
Manufacturer Street475 CALLE C
Manufacturer CityGUAYNABO 00969
Manufacturer Country*
Manufacturer Postal00969
Manufacturer Phone6107428552
Manufacturer G1ETHICON ENDO-SURGERY, LLC.
Manufacturer Street475 CALLE C
Manufacturer CityGUAYNABO 00969
Manufacturer Country*
Manufacturer Postal Code00969
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHARMONIC LAP 5MM SHEAR 36CM
Generic NameINSTRUMENT, ULTRASONIC SURGICAL
Product CodeLFL
Date Received2020-03-31
Model NumberHAR36
Catalog NumberHAR36
Lot NumberR94L60
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerETHICON ENDO-SURGERY, LLC.
Manufacturer Address475 CALLE C GUAYNABO 00969 * 00969


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-31

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