MICRO-GRID (GREEN) SURGICAL BACKGROUND RADIOPAQUE 4022800

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-21 for MICRO-GRID (GREEN) SURGICAL BACKGROUND RADIOPAQUE 4022800 manufactured by Medtronic, Inc.

Event Text Entries

[73345417]
Patient Sequence No: 1, Text Type: N, H10


[73345418] When opening microgrid onto field, noticed that two were stuck to one another in package. Usually just one is in package. Microgrid #2 was placed on board.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6510586
MDR Report Key6510586
Date Received2017-04-21
Date of Report2017-04-19
Date of Event2017-04-12
Report Date2017-04-19
Date Reported to FDA2017-04-19
Date Reported to Mfgr2017-04-19
Date Added to Maude2017-04-21
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMICRO-GRID (GREEN) SURGICAL BACKGROUND RADIOPAQUE
Generic NameTAPE, MEASURING, RULERS AND CALIPERS
Product CodeFTY
Date Received2017-04-21
Model Number4022800
Lot Number0212904771
OperatorPHYSICIAN
Device Availability*
Device Age1 DY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC, INC
Manufacturer Address1800 PYRAMID PLACE MEMPHIS TN 38132 US 38132


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-21

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