* R6/10 CODMAN 44 32-3473 STAINLESS 0

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-05-09 for * R6/10 CODMAN 44 32-3473 STAINLESS 0 manufactured by Codman & Shurtleff, Inc..

Event Text Entries

[1983664] A #0 currette broke off in patient. Broken piece was removed. Incision had to be enlarged because it broke.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2092280
MDR Report Key2092280
Date Received2011-05-09
Date of Report2011-05-09
Date of Event2011-05-04
Report Date2011-05-09
Date Reported to FDA2011-05-09
Date Added to Maude2011-05-18
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand Name*
Generic NameCURETTE, SURGICAL, GENERAL USE
Product CodeFZS
Date Received2011-05-09
Model NumberR6/10
Catalog NumberCODMAN 44 32-3473 STAINLESS 0
Lot Number*
ID Number*
OperatorPHYSICIAN
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerCODMAN & SHURTLEFF, INC.
Manufacturer Address325 PARAMOUNT DR. RAYNHAM MA 02767 US 02767


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-09

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