MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-10 for UNK * manufactured by Unk.
[21396503]
During abdominal surgery for treatment of an abscess, the bladder was perforated. The surgeon repaired the perforation.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 125934 |
MDR Report Key | 125934 |
Date Received | 1997-10-10 |
Date of Report | 1997-10-07 |
Date of Event | 1997-09-30 |
Date Facility Aware | 1997-09-30 |
Report Date | 1997-10-07 |
Date Reported to FDA | 1997-10-07 |
Date Added to Maude | 1997-10-15 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | RISK MANAGER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | UNK |
Generic Name | METZENBAUM SCISSORS |
Product Code | LPW |
Date Received | 1997-10-10 |
Model Number | * |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | NO INFO |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 123272 |
Manufacturer | UNK |
Manufacturer Address | UNK UNK * |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 1997-10-10 |