MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2010-06-17 for MIRA OS4081 TRANSILLUMINATING DIATHERMY HANDLE manufactured by Mira, Inc..
[1341327]
Diathermy handle remains activated without the user activating the device.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1218813-2010-00006 |
MDR Report Key | 1735031 |
Report Source | 08 |
Date Received | 2010-06-17 |
Date Mfgr Received | 2010-02-10 |
Date Added to Maude | 2010-11-22 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 0 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Street | 414 QUAKER HIGHWAY |
Manufacturer City | UXBRIDGE MA 01527 |
Manufacturer Country | US |
Manufacturer Postal | 01527 |
Single Use | 3 |
Remedial Action | RP |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MIRA OS4081 TRANSILLUMINATING DIATHERMY HANDLE |
Generic Name | NONE |
Product Code | HQR |
Date Received | 2010-06-17 |
Returned To Mfg | 2010-02-10 |
Model Number | OS4081 |
Catalog Number | OS4081 |
Lot Number | HV |
ID Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MIRA, INC. |
Manufacturer Address | UXBRIDGE MA US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2010-06-17 |