MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,08 report with the FDA on 1998-08-12 for WECK CURRETTE TIP 20300 * manufactured by Pilling Weck Surgical.
[15028084]
Medical record reviewed 4/14/98. Fourteen year old admitted for cholesteatoma to right ear and underwent right tympanomastoidectomy. During procedure ent currette tip broke. Two portions of the tip recovered and x-rays performed to rule out retained foreign body.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2515651-1998-00001 |
MDR Report Key | 182573 |
Report Source | 06,08 |
Date Received | 1998-08-12 |
Date of Report | 1998-08-12 |
Date of Event | 1998-04-06 |
Date Mfgr Received | 1998-05-13 |
Date Added to Maude | 1998-08-18 |
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 | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 0 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | WECK CURRETTE TIP |
Generic Name | ENT CURRETTE |
Product Code | JYG |
Date Received | 1998-08-12 |
Model Number | 20300 |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | * |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 177501 |
Manufacturer | PILLING WECK SURGICAL |
Manufacturer Address | 420 DELAWARE DR. FORT WASHINGTON PA 19034 US |
Baseline Brand Name | WECK CURRETTE TIP |
Baseline Generic Name | ENT CURRETTE |
Baseline Model No | 20300 |
Baseline Catalog No | * |
Baseline ID | * |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 1998-08-12 |