MIRA OS4081 TRANSILLUMINATING DIATHERMY HANDLE

MAUDE Adverse Event Report

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..

Event Text Entries

[1341327] Diathermy handle remains activated without the user activating the device.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1218813-2010-00006
MDR Report Key1735031
Report Source08
Date Received2010-06-17
Date Mfgr Received2010-02-10
Date Added to Maude2010-11-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street414 QUAKER HIGHWAY
Manufacturer CityUXBRIDGE MA 01527
Manufacturer CountryUS
Manufacturer Postal01527
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMIRA OS4081 TRANSILLUMINATING DIATHERMY HANDLE
Generic NameNONE
Product CodeHQR
Date Received2010-06-17
Returned To Mfg2010-02-10
Model NumberOS4081
Catalog NumberOS4081
Lot NumberHV
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMIRA, INC.
Manufacturer AddressUXBRIDGE MA US


Patients

Patient NumberTreatmentOutcomeDate
10 2010-06-17

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