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 |