BIOPSY FORCEPS FB-19C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-09-09 for BIOPSY FORCEPS FB-19C manufactured by Olympus Corp..

Event Text Entries

[21393803] Finger control broke. Physician had to manually close and remove forceps from pt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1003294
MDR Report Key15991
Date Received1994-09-08
Date of Report1994-08-24
Date of Event1994-08-16
Date Added to Maude1994-09-12
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 NameBIOPSY FORCEPS
Generic NameBIOPSY FORCEPS
Product CodeBWH
Date Received1994-09-09
Catalog NumberFB-19C
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key15924
ManufacturerOLYMPUS CORP.
Manufacturer AddressLAKE SUCCESS NY 110421176 US


Patients

Patient NumberTreatmentOutcomeDate
10 1994-09-08

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