MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2020-03-11 for VD/CSFF 821730 manufactured by Codman & Shurtleff Inc..
| Report Number | 2023988-2020-00006 |
| MDR Report Key | 9821011 |
| Report Source | OTHER |
| Date Received | 2020-03-11 |
| Date of Report | 2020-03-11 |
| Date Mfgr Received | 2020-02-11 |
| Date Added to Maude | 2020-03-11 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS MICHELLE GREANEY |
| Manufacturer Street | IDA BUSINESS PARK GORT |
| Manufacturer City | CONNACHT H91PD92 |
| Manufacturer Country | EI |
| Manufacturer Postal | H91PD92 |
| Manufacturer G1 | NATUS NEUROLOGY INCORPORATED |
| Manufacturer Street | 5955 PACIFIC CENTRE BOULEVARD SAN DIEGO |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VD/CSFF |
| Generic Name | CODMAN EDS 3 CSF EXTERNAL DRAINAGE SYSTEM |
| Product Code | JXG |
| Date Received | 2020-03-11 |
| Model Number | 821730 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CODMAN & SHURTLEFF INC. |
| Manufacturer Address | 325 PARAMOUNT DRIVE RAYNHAM MASSACHUSETTS, US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-11 |