PREFIX PPF M0068506000 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-05-01 for PREFIX PPF M0068506000 * manufactured by Boston Scientific.

Event Text Entries

[20619735] Obturator was sticking and would not advance mesh.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5006532
MDR Report Key1037571
Date Received2008-05-01
Date of Report2008-05-01
Date of Event2008-04-07
Date Added to Maude2008-05-13
Event Key0
Report Source CodeVoluntary 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 Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePREFIX PPF
Generic NameOBTURATOR
Product CodeFEC
Date Received2008-05-01
Model NumberM0068506000
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1008288
ManufacturerBOSTON SCIENTIFIC
Manufacturer Address* QUINCY MA 02171 US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-05-01

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