UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2010-08-18 for UNK manufactured by Unk.

Event Text Entries

[1352655] During a cataract extraction, the surgeon noted that the tip of the nagahara chopper was missing. The eye was inspected under the microscope and an xray was taken, the object was not found.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1812664
MDR Report Key1812664
Report Source99
Date Received2010-08-18
Date of Report2010-08-16
Date of Event2010-07-22
Date Facility Aware2010-07-22
Report Date2010-08-16
Date Added to Maude2010-08-26
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameNAGAHARA CHOPPER
Product CodeHNQ
Date Received2010-08-18
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeNA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2010-08-18

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