COMPLETE TUNNELING KIT NL950-VC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,08 report with the FDA on 2008-08-08 for COMPLETE TUNNELING KIT NL950-VC manufactured by Integra Neurosciences.

Event Text Entries

[21990371] To date, the device involved in the reported incident has not been received for evaluation. An investigation has been initiated based on the reported information.
Patient Sequence No: 1, Text Type: N, H10


[22121498] The distributor reports on behalf of the user facility. The device displayed an error reading code e09. After this error message was displayed, it was decided by the facility to remove the device and insert a new one. The new device worked perfectly.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2023988-2008-00027
MDR Report Key1105847
Report Source01,05,08
Date Received2008-08-08
Date of Report2008-08-08
Date Mfgr Received2008-07-25
Date Added to Maude2010-04-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactSHARION GREEN, RN
Manufacturer Street311C ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362469
Manufacturer G1INTEGRA NEUROSCIENCES
Manufacturer Street5955 PACIFIC CENTER BLVD.
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal Code92121
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOMPLETE TUNNELING KIT
Generic NameICP DISPOSABLES
Product CodeHCA
Date Received2008-08-08
Catalog NumberNL950-VC
OperatorHEALTH PROFESSIONAL
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA NEUROSCIENCES
Manufacturer AddressSAN DIEGO CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2008-08-08

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