MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 1998-12-04 for CONNOR WAND 08-07114 8-07114 manufactured by Rhein Medical.
[116153]
A physician noted that the tip of an instrument was missing after use during eye surgery.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1051791-1998-00001 |
| MDR Report Key | 200387 |
| Report Source | 06 |
| Date Received | 1998-12-04 |
| Date of Report | 1998-11-05 |
| Date of Event | 1998-10-15 |
| Date Mfgr Received | 1998-11-05 |
| Device Manufacturer Date | 1996-10-01 |
| Date Added to Maude | 1998-12-08 |
| 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 |
| Reporter Occupation | RISK MANAGER |
| 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 | CONNOR WAND |
| Generic Name | OPHTHALMIC SPATULA |
| Product Code | HND |
| Date Received | 1998-12-04 |
| Model Number | 08-07114 |
| Catalog Number | 8-07114 |
| Lot Number | NA |
| ID Number | NA |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 191424 |
| Manufacturer | RHEIN MEDICAL |
| Manufacturer Address | 5460 BEAUMONT CENTER BLVD. SUITE 500 TAMPA FL 33634 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 1998-12-04 |