MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2012-01-31 for UNKNOWN manufactured by Unk.
[2470290]
During surgical repair of multiple full-thickness eyelid lacerations and superior canalicular laceration of the right eye (caused by a dog bite), the tip of the nasolacrimal probe retrieval hook broke and became embedded in the right inferior turbinate. The lacerations were repaired and the child was discharged with follow-up instructions and appointments.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2435879 |
| MDR Report Key | 2435879 |
| Report Source | 99 |
| Date Received | 2012-01-31 |
| Date of Report | 2011-04-28 |
| Date of Event | 2011-03-05 |
| Date Facility Aware | 2011-03-05 |
| Report Date | 2011-04-28 |
| Date Added to Maude | 2012-02-02 |
| 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 | 3 |
| 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 | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNKNOWN |
| Generic Name | CRAWFORD RETRIEVING HOOK |
| Product Code | HNL |
| Date Received | 2012-01-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | NA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNK |
| Manufacturer Address | UNK UNK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2012-01-31 |