MEDTRONIC PYRAMID 4 PYRAMID +4 4-F

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-07-21 for MEDTRONIC PYRAMID 4 PYRAMID +4 4-F manufactured by Minnesota.

Event Text Entries

[1103002] Malfunctioning forceps holder, piece broke off.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5012072
MDR Report Key1420988
Date Received2009-07-21
Date of Report2009-07-21
Date of Event2009-07-14
Date Added to Maude2009-07-30
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 FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMEDTRONIC PYRAMID 4
Generic NameNONE
Product CodeFFF
Date Received2009-07-21
Model NumberPYRAMID +4
Catalog Number4-F
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerMINNESOTA


Patients

Patient NumberTreatmentOutcomeDate
10 2009-07-21

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.