FIXATION, COMPONENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 1998-05-15 for FIXATION, COMPONENT manufactured by .

Event Text Entries

[16762395] Cables were implanted on 4/1/98. The two most proximal cables loosened and were removed on 4/16/98.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1825034-1998-00037
MDR Report Key167660
Report Source07
Date Received1998-05-15
Date of Event1998-04-16
Date Mfgr Received1998-04-17
Date Added to Maude1998-05-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional0
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Generic NameFIXATION, COMPONENT
Product CodeDZK
Date Received1998-05-15
Returned To Mfg1998-04-17
Model NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key163135
Baseline Brand NameSTAINLESS STEEL CABLE
Baseline Generic NameFIXATION, COMPONENT
Baseline Model NoNA
Baseline Catalog No350800
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1998-05-15

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