MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 1999-07-29 for HEGAR 30-530 manufactured by Miltex Instrument Co. Inc..
| Report Number | 2431021-1999-00004 |
| MDR Report Key | 234961 |
| Report Source | 05,06 |
| Date Received | 1999-07-29 |
| Date of Report | 1999-07-29 |
| Date of Event | 1999-07-14 |
| Date Mfgr Received | 1999-07-29 |
| Date Added to Maude | 1999-08-10 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 0 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | HEGAR |
| Generic Name | UTERINE DILATOR |
| Product Code | HDQ |
| Date Received | 1999-07-29 |
| Model Number | 30-530 |
| Catalog Number | 30-530 |
| Lot Number | UNK |
| Device Eval'ed by Mfgr | R |
| Implant Flag | N |
| Device Sequence No | 1 |
| Device Event Key | 225724 |
| Manufacturer | MILTEX INSTRUMENT CO. INC. |
| Manufacturer Address | 700 HICKSVILLE RD. BETHPAGE NY 11714 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1999-07-29 |