MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-09-20 for V. MUELLER BE 395 manufactured by .
[1372527]
Other serious outcome. Diagnosis or reason for use: angioedema.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5017506 |
| MDR Report Key | 1842648 |
| Date Received | 2010-09-20 |
| Date of Report | 2010-08-31 |
| Date of Event | 2010-07-16 |
| Date Added to Maude | 2010-09-28 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| 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 | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | V. MUELLER |
| Generic Name | CRICOID/TRACHEAL HOOKS |
| Product Code | KCH |
| Date Received | 2010-09-20 |
| Model Number | BE 395 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2010-09-20 |