MILTEX THERE WERE NO IDENTIFYING NUMBERS ON THE DEVICE; ONLY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-04-15 for MILTEX THERE WERE NO IDENTIFYING NUMBERS ON THE DEVICE; ONLY manufactured by Miltex Instrument Co..

Event Text Entries

[95307] Nurse trimming tape holding an oral gastric tube in place cut ear of baby.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number163250
MDR Report Key163250
Date Received1998-04-15
Date of Report1998-03-31
Date of Event1998-02-19
Date Facility Aware1998-02-19
Report Date1998-03-31
Date Reported to FDA1998-04-13
Date Reported to Mfgr1998-04-13
Date Added to Maude1998-04-21
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameMILTEX
Generic NameSHEARS
Product CodeHRR
Date Received1998-04-15
Model NumberTHERE WERE NO IDENTIFYING
Catalog NumberNUMBERS ON THE DEVICE; ONLY
Lot NumberIMPRINTED ON HANDLE.
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeUNKNOWN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key158922
ManufacturerMILTEX INSTRUMENT CO.
Manufacturer Address6 OHIO DRIVE LAKE SUCCESS NY 11042 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1998-04-15

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