TRUMPET VALVE 8571-07

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-04-14 for TRUMPET VALVE 8571-07 manufactured by Davis & Geck.

Event Text Entries

[17798722] While using a trumpet valve on a laparoscopic cholecystectomy for cautery, suction, and irrigation, the insulation frayed and the gallbladder was perforated. Bile leaked into the abdominal cavity. The surgeon was able to control the event and completed the surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1001586
MDR Report Key12746
Date Received1994-04-14
Date of Report1994-04-01
Date of Event1994-03-17
Date Added to Maude1994-04-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTRUMPET VALVE
Generic NameENDOSCOPIC ELECTRODE SUCTION, IRRIGATION, CAUTERY
Product CodeFEH
Date Received1994-04-14
Catalog Number8571-07
Lot Number110372
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key12746
ManufacturerDAVIS & GECK
Manufacturer AddressDANBURY CT 06810 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1994-04-14

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