ENDOLAP 003.4

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-06-08 for ENDOLAP 003.4 manufactured by Endolap, Inc.

Event Text Entries

[18554828] Delivery end of the cord is a light carrier and it sticks out over the coupler end by about 3-4mm. The light cord was laid on a towel in a sterile field and when it was turned on, within seconds, the towel caught fire. Rptr states that a competitor makes the same type of cord which has a cover guard for the end. Rptr believes that if device had this guard the fire would not have started. Mfr was notified about event and is investigating.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1019080
MDR Report Key280907
Date Received2000-06-08
Date of Report2000-06-08
Date of Event2000-06-08
Date Added to Maude2000-06-09
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameENDOLAP
Generic NameFIBEROPTIC LIGHT CORD 0.4MM X 10FT
Product CodeEQH
Date Received2000-06-08
Model NumberNA
Catalog Number003.4
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key271859
ManufacturerENDOLAP, INC
Manufacturer Address3012 MERCY DR ORLANDO FL 32808 US


Patients

Patient NumberTreatmentOutcomeDate
10 2000-06-08

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