MAUDE report

MAUDE report 4727: FORGARTY:AMERICAN V. MUELLER

Malfunction · received Jul 31, 1992 · BAXTER

Key facts

MDR report key 4727
Report number 4727
Event type Malfunction
Brand name FORGARTY:AMERICAN V. MUELLER
Model number 12-080-4F
Catalog number CV 1042
Manufacturer BAXTER
Product code GBA
Device class Class I
PMA or 510(k) number Device Exempt
Date received by FDA Jul 31, 1992
Report date Apr 16, 1992
Report source Maude

At a glance

  • None Device problems coded
  • 100–999 MAUDE reports for this product code
  • 1–9 MAUDE reports for this brand
  • None Death reports for this brand
  • None Injury reports for this brand
  • No Adverse event flagged
  • Yes Product problem flagged

Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.

About MAUDE medical device reports

MAUDE holds medical device reports (MDRs) of suspected device-associated deaths, serious injuries and malfunctions submitted to the FDA by manufacturers, importers, user facilities and the public. A report alone does not establish that a device caused an event.

Source: U.S. Food and Drug Administration (FDA), MAUDE (Manufacturer and User Facility Device Experience) database · Source date:

Browse all MAUDE medical device reports