MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 1998-11-12 for UNK manufactured by Miltex Instrument Co, Inc..
| Report Number | 2431021-1998-00011 |
| MDR Report Key | 196896 |
| Report Source | 05,06 |
| Date Received | 1998-11-12 |
| Date of Report | 1998-11-11 |
| Date of Event | 1998-09-23 |
| Date Mfgr Received | 1998-11-10 |
| Date Added to Maude | 1998-11-17 |
| 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 | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Product Code | EAX |
| Date Received | 1998-11-12 |
| Catalog Number | UNK |
| Lot Number | UNK |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 191300 |
| Manufacturer | MILTEX INSTRUMENT CO, INC. |
| Manufacturer Address | 6 OHIO DR - CB 5006 LAKE SUCCESS NY 110420006 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1998-11-12 |