MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-02-24 for HEALTHCO CORP UNK manufactured by Healthco Corp.
[20529002]
"poot tip" pick broken during procedure. Instrument removed from service.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 211643 |
| MDR Report Key | 211643 |
| Date Received | 1999-02-24 |
| Date of Report | 1999-02-18 |
| Date of Event | 1999-02-09 |
| Date Facility Aware | 1999-02-09 |
| Report Date | 1999-02-18 |
| Date Reported to FDA | 1999-02-24 |
| Date Added to Maude | 1999-03-02 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| 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 | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HEALTHCO CORP |
| Generic Name | DENTAL PICK |
| Product Code | JET |
| Date Received | 1999-02-24 |
| Model Number | UNK |
| Catalog Number | UNK |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | UNKNOWN |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 205392 |
| Manufacturer | HEALTHCO CORP |
| Manufacturer Address | UNK UNK * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1999-02-24 |