MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-04-28 for HEANEY-BALLENTINE HYSTERECTOMY FORCEPS * manufactured by Codman.
| Report Number | 275524 |
| MDR Report Key | 275524 |
| Date Received | 2000-04-28 |
| Date of Report | 2000-03-13 |
| Date of Event | 2000-03-03 |
| Date Facility Aware | 2000-03-03 |
| Report Date | 2000-03-13 |
| Date Reported to Mfgr | 2000-03-13 |
| Date Added to Maude | 2000-05-01 |
| 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 | HEANEY-BALLENTINE HYSTERECTOMY FORCEPS |
| Generic Name | SURGICAL INSTRUMENT |
| Product Code | HCZ |
| Date Received | 2000-04-28 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 3 YR |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 266680 |
| Manufacturer | CODMAN |
| Manufacturer Address | 325 PARAMOUNT DR. RAYNHAM MA 02767 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2000-04-28 |